Laparoscopic surgery: does it increase the probability of atrial and ventricular arrhythmias in children?

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Ozgur CiftciHaldun Muderrisoglu

Abstract

Despite the minor physiologic changes those occur during laparoscopic procedures, pneumoperitoneum with CO2 insufflation may induce alterations in electrocardiographic (ECG) variables, which may predict severe atrial and ventricular arrhythmias. This study aims to assess QT dispersion (QTD) and P wave dispersion (PWD) changes in children who have undergone laparoscopic appendectomy. Sixteen patients (12 males and 4 females) who had preoperative diagnosis of appendicitis were included in the study. As laparoscopic exploration revealed appendicitis in all patients, laparoscopic appendectomy was performed. Preinsufflation (ECG1), postinsufflation (ECG2), predesufflation (ECG3), and postdesufflation (ECG4) ECGs were achieved at a speed of 25 mm/s for QTD and PWD analyses. Although mean corrected QTD and PWD at ECG2 and ECG3 were significantly greater than ECG1 and ECG4, those changes induced by insufflation of CO2 were reversible. The clinical significance of pneumoperitoneum, which causes an increase in corrected QTD and PWD in children, remains to be determined with further studies.

References

May 1, 1991·The Australian & New Zealand Journal of Obstetrics & Gynaecology·P S Myles
Feb 1, 1991·Anesthesia and Analgesia·W T SchmelingJ P Kampine
Feb 1, 1995·Surgical Endoscopy·J G McLaughlinB W Bonnell
Jul 1, 1996·European Journal of Anaesthesiology·D G MichaloudisB J Pollard
Jan 13, 1999·European Journal of Anaesthesiology·D MichaloudisH Askitopoulou
Jan 7, 2000·Anesthesia and Analgesia·A KleinsasserF Puehringer
Jan 29, 2000·Anesthesia and Analgesia·B Ong
May 16, 2002·Pharmacotherapy·Jessica SongC Michael White
Jul 13, 2002·Cardiac Electrophysiology Review·Antonio MichelucciLuigi Padeletti
Oct 11, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Hirotoshi EgawaToshimitsu Kitajima
Mar 19, 2003·Paediatric Anaesthesia·Yavuz GürkanKamil Toker
May 27, 2003·British Journal of Anaesthesia·E HuettemannK Reinhart
Oct 1, 2003·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Zerrin YiğitOzen Güven
May 6, 2004·Journal of Electrocardiology·James S KalusC Michael White
Aug 4, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Po-Li WeiWei-Jei Lee
Jan 22, 2005·Journal of Electrocardiology·Christian PerzanowskiAlan K Jacobson
Sep 6, 2005·The Tohoku Journal of Experimental Medicine·Osman KarakayaCihangir Kaymaz
Mar 6, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Carlo MaterazzoFabrizio Villani

❮ Previous
Next ❯

Citations

Dec 21, 2010·Journal of Indian Association of Pediatric Surgeons·V Raveenthiran

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.

Related Papers

Pacing and Clinical Electrophysiology : PACE
Aydın AkyüzMustafa Metin Donma
Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır
Aydın AkyüzMustafa Metin Donma
Anadolu Kardiyoloji Dergisi : AKD = the Anatolian Journal of Cardiology
Volkan HancıIşıl Ozkoçak
© 2022 Meta ULC. All rights reserved