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October 16, 2009Journal of the Bangladesh Society of AnaesthesiologistsOpen Access

Supraventricular Tachycardia during Regional Anaesthesia (Spinal Anaesthesia)

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Key result

Intravenous administration of 1.0 mg propranolol successfully converted supraventricular tachycardia to sinus rhythm in a 50-year-old woman during spinal anesthesia.

Population

A 50-year-old female with a left ureteric stone and diabetes mellitus undergoing Ureteorenoscopic…

Design

Case_report

Authors

TBTahmina BanuChittagong Medical CollegeWMWahiuddin Mahmood

Discussion

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Implication

May support propranolol as rescue for SVT during spinal anesthesia; hypothesis-generating and requires confirmation before practice change.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
A 50-year-old female patient who developed supraventricular tachycardia during spinal anesthesia for ureteric stone removal.
I
Intervention
Esmolol 30 mg IV followed by propranolol 1.0 mg IV
O
Outcome
Conversion of supraventricular tachycardia to sinus rhythm

Intravenous propranolol can be an effective rescue therapy for converting supraventricular tachycardia to sinus rhythm during spinal anaesthesia when short-acting beta-blockers like esmolol fail.

Limitations

  • Single case report
  • Lack of 12-lead ECG to diagnose the exact cause of the arrhythmia

Cite This Study

Banu et al. (2009) conducted a case report in Supraventricular tachycardia during spinal anaesthesia (n=1). Propranolol was evaluated on Conversion to sinus rhythm. Intravenous administration of 1.0 mg propranolol successfully converted supraventricular tachycardia to sinus rhythm in a 50-year-old woman during spinal anesthesia.

synapsesocial.com/papers/6a9a0fb43a7d00396fde80ddhttps://doi.org/10.3329/jbsa.v21i1.3554
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Supraventricular Tachycardia in a Parturient Under Spinal Anesthesia1993 · 12 citations
  2. 2Cardioversion in late pregnancy1981 · 30 citations