Mobitz Type II Atrioventricular Block Followed by Remifentanil in a Patient with Severe Aortic Stenosis
Joint Authors
Razavi, Majid
Taghavi Gilani, Mehryar
Source
Case Reports in Anesthesiology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Opioids have been considered for their hemodynamic stability.
Remifentanil is an opioid analgesic with rapid metabolism and fast primary effect and recovery.
In this paper, a very rare effect of using remifentanil along with propofol was presented.
An 84-year-old male patient with severe aortic stenosis underwent general anesthesia.
In order to induce anesthesia and maintain it, fentanyl, pancuronium, and propofol, along with a combination of propofol and remifentanil, were used, respectively.
At beginning of remifentanil infusion, bradycardia and then Mobitz type II conduction block with a hemodynamic disorder occurred for the patient.
The decreased blood pressure responded to injection of atropine and ephedrine; however, dysrhythmia only improved after cessation of remifentanil.
Therefore remifentanil should be used with caution in aortic stenosis.
American Psychological Association (APA)
Taghavi Gilani, Mehryar& Razavi, Majid. 2013. Mobitz Type II Atrioventricular Block Followed by Remifentanil in a Patient with Severe Aortic Stenosis. Case Reports in Anesthesiology،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-503387
Modern Language Association (MLA)
Taghavi Gilani, Mehryar& Razavi, Majid. Mobitz Type II Atrioventricular Block Followed by Remifentanil in a Patient with Severe Aortic Stenosis. Case Reports in Anesthesiology No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-503387
American Medical Association (AMA)
Taghavi Gilani, Mehryar& Razavi, Majid. Mobitz Type II Atrioventricular Block Followed by Remifentanil in a Patient with Severe Aortic Stenosis. Case Reports in Anesthesiology. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-503387
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503387