Intraoperative ST Segment, T Wave Changes in Two Infants during General Anesthesia.

EmilyD Geyer; Richard S Cartabuke; Brian Schloss; JosephD Tobias

Author(s)

EmilyD Geyer Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA

Richard S Cartabuke Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA;Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA

Brian Schloss Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA;Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA

JosephD Tobias Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA;Department of Anesthesiology & Pain Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA

Abstract

When compared to the adult population, intraoperative cardiac events related to coronary ischemia are uncommon in the pediatric population. However, continuous electrocardographic (ECG) monitoring is still recommended in infants and children. The authors report two infants who developed intraoperative ST-T wave changes during routine surgical procedures. The role of intraoperative ECG monitoring in infants and children is discussed, the etiology of ST-T wave changes is presented, and previous reports of such events are reviewed.

Publication Details

Page(s) 112-116

DOI DOI not available

Published Journal: Anaesthesia, Pain and Intensive Care, Volume: 22, Issue: 1, Year: 2018

Request the full text from PASTIC

References

van der GriendBF,ListerNA,McKenzieIM,MartinN,RaggPG,SheppardSJ,BhanankerSM,RamamoorthyC,GeiduschekJM,PosnerKL,DominoKB,HaberkernCM,MorrayJP,GeiduschekJM,RamamoorthyG,HaberkernCM,HackelA,CaplanRA, 2007.Anesthesiarelated cardiac arrest in children: update from the pediatric perioperative cardiac arrest registry,Anesth Analg 105 344 -50

WebbRK,CockingsJ,Williamson JA, 2000.Cardiac arrest: an analysis of 2000 incident reports,Anesthesiology 93 6 -14

1993.,Anaesth Intensive Care 21 626 -37

WebbRK,Van der WaltJH,RuncimanRB,WilliamsonJA,CockingsJ,RussellWJ, 1993.Which monitor? An analysis of 2000 incident reports,Anaesth Intensive Care 21 529 -42

RoyWL,EdelistG,GilbertB, 1979.Myocardial ischemia during noncardiac surgical procedures in patients with coronary artery disease,Anesthesiology 51 393 -7

KirstnerJR,MillerED,EpsteinRM, 1977.More than V, needed,Anesthesiology 47 75 -6

KeenanRL,ShapiroJH,KaneFR,SimpsonPM, 1994.Bradycardia during anesthesia in infants. An epidemiologic study,Anesthesiology 80 976 -82

WaliaH,RudaJ,TobiasJD, 2015.Sevoflurane and bradycardia in infants with trisomy 21: A case report and review of the literature,Inter J Pediatr Otorhinolaryngol 11 5 -7

TobiasJD, 2001.Caudal epidural block: test dosing and recognition of systemic injection,Anesth Analg 14 345 -352

MiyakeCY,DavisAM,MotonagaKS,DubinAM,BerulCI,CecchinF, 2013.Infant ventricular fibrillation after STsegment changes,Circ Arrhythm Electrophysiol 6 712 -8

BellC,RimarS,BarashP, 1989.Intraoperative ST-segment changes consistent with myocardial ischemia in the neonate: a report of three cases,Anesthesiology 71 601 -4

AlfirevicA,MossadE,NiezgodaJ, 2005.,Unexpected ST segment changes in children - a case report. Paediatr Anaesth 15 63 -67

GirshinM,ParikhSR,LeyviG,LakhaniP,LoLW,WasnickJD, 2005.Intraoperative oxygen desaturation and electrocardiographic changes in a patient with Hanhart syndrome,J Cardiothorac Vasc Anesth 19 546 -7

TestaL,TobiasJD, 1994.KavanaughMcHugh A. Hypoplastic left heart syndrome: Anesthetic care prior to transplantation or surgical palliation,J Clin Anes 6 500 -504

KhoshnoodBM,LelongN,HouyelL,ThieulinAC,JouannicJM,MagnierS, 2012.Prevalence, timing of diagnosis and mortality of newborns with congenital heart defects: a populationbased study,Heart 302543 1667 -7