Intraoperative Ventricular Bigeminy: Report of 5 Cases

Five patients who had intraoperative ventricular bigeminy while undergoing various orthopaedic procedures are reported. Diagnosis of pulsus bigeminus was established by continuous intraoperative ECG monitoring of lead 11 using a Micromon 7142 (L&T Medical) ECG machine. Causes of these arrhythmias were traced to hypokalaemia, inadequate analgesia, old age, previous rheumatic heart disease and sensitization of the myocardium to catecholamines by halothane. All patients were successfully managed either with intravenous potassium administration, additional analgesia or intravenous lignocaine. The importance of preoperative patient investigations and intraoperative monitoring is highlighted.Cinq patients qui avaient subi la big\ue9min\ue9 intrachirurgicale ventriculaire pendant qu'ils suivaient des proc\ue9dures orthop\ue9diques diverses sont l'objet de ce raport. On avait d\ue9termin\ue9 le diagnostic du gig\ue9minus pulsus \ue0 travers la surveillance ECG intraop\ue9ratoires continuelle de plomb 11 avec l'ultilisation de Micromon 7142 (L & T M\ue9dical) machine ECG. On a pu \ue9tablir que les causes de ces arrhythmia \ue9taient hypokal\ue9mie, analg\ue9sie insuffisance, la vieillesse, maladies cardiaques du rhumatisme pr\ue9c\ue9dantes et la sensitisation de myocardium \ue0 cat\ue9cholomine par halothane. Tous les patients ont \ue9t\ue9 trait\ue9s avec succ\ue8s soit \ue0 travers l'administration du potassium intraveineux, analgesie suppl\ue9mentaire, soit lignocaine intraveineux. Il s'agit de l'importance d'une \ue9tude pr\ue9op\ue9ratoire des patients et surveillance intraop\ue9ratoire

INTRAOPERATIVE VENTRICULAR BIGEMINY: REPORT OF 5 CASES

Five patients who had intraoperative ventricular bigeminy while undergoing various orthopaedic procedures are reported. Diagnosis of pulsus bigeminus was established by continuous intraoperative ECG monitoring of lead 11 using a Micromon 7142 (L&T Medical) ECG machine. Causes of these arrhythmias were traced to hypokalaemia, inadequate analgesia, old age, previous rheumatic heart disease and sensitization of the myocardium to catecholamines by halothane. All patients were successfully managed either with intravenous potassium administration, additional analgesia or intravenous lignocaine. The importance of preoperative patient investigations and intraoperative monitoring is highlighted

E-MARKETING STRATEGIS BERBASIS METODE SOSTAC PADA CV. RIMBA BUANA

E-MARKETING STRATEGIS BERBASIS METODE SOSTAC PADA CV. RIMBA BUANA