Arch Aesthetic Plast Surg.  2011 Jun;17(2):137-140.

Ventricular Tachycardia in Rhinoplasty: A Report of Two Cases

• Park SS
• Kim C
• Park DH

Abstract

Local infiltration(lidocain and epinephrine) has been used to control bleeding in local or general anesthesia in plastic surgery field. However epinephrine also has various side effects, such as tarchycardia, arrhythmia, pulmonary edema, cardiac arrest, etc. We experienced two cases of ventricular tachycardia after local infiltration in rhinoplasty. The first case was a 21 year-old female and the second case was a 40 year-old male. None of them had previous history of cardiac disease. We performed cardiac massage and cardioversion several times immediately after ECG changed to Ventricular tachycardia in operation room until ECG turned to normal sinus rhythm. Patients were transferred to intensive care unit. The condition of patients improved rapidly in a few days and additional complications were not detected except pulmonary edema following cardiac massage. Conclusion: We experienced ventricular tachycardia unexpectedly after local infiltration during the surgical procedure. We report these cases with literature.

Keyword

Local anesthetics; Ventricular tachycardia

MeSH Terms

Anesthesia, General
Anesthetics, Local
Arrhythmias, Cardiac
Electric Countershock
Electrocardiography
Epinephrine
Female
Heart Arrest
Heart Diseases
Heart Massage
Hemorrhage
Humans
Intensive Care Units
Male
Pulmonary Edema
Rhinoplasty
Surgery, Plastic
Tachycardia, Ventricular
Anesthetics, Local
Epinephrine