Korean J Anesthesiol.  2005 Dec;49(6):892-896. 10.4097/kjae.2005.49.6.892.

Atrial Fibrillation Developed during Recovery from General Anesthesia: A case report

• Lee YK
• Park CS
• Hwang WJ

• KMID: 1894335
• DOI: http://doi.org/10.4097/kjae.2005.49.6.892

Abstract

Laparoscopic cholecystectomy was performed in a 69-year old woman due to perforated acute gangrenous cholecystitis. After completion of the surgery, we administered 10 mg pyridostigmine for the reversal of neuromuscular block and 4 mg ondansetron for the prevention of nausea and vomiting. Twenty minute after arrival in the recovery room, atrial fibrillation and tachycardia occurred. Even with the continuous infusion of esmolol and then administration of digoxin, atrial fibrillation and tachycardia continued in the recovery room. After transfer to the general ward, the heart rate was gradually decreased, and next morning, we could find the atrial fibrillation disappeared.

Keyword

atrial fibrillation; autonomic imbalance; inflammation; ondansetron

MeSH Terms

Aged
Anesthesia, General*
Atrial Fibrillation*
Cholecystectomy, Laparoscopic
Cholecystitis
Digoxin
Female
Heart Rate
Humans
Inflammation
Nausea
Neuromuscular Blockade
Ondansetron
Patients' Rooms
Pyridostigmine Bromide
Recovery Room
Tachycardia
Vomiting
Digoxin
Ondansetron
Pyridostigmine Bromide