Perioperative Management of Patients with Tachyarrhythmias in Non-cardiac Surgery
Issue 1 (2017) , PERIOPERATIVE MANAGEMENT
Issue 1 (2017)
PERIOPERATIVE MANAGEMENT

Perioperative Management of Patients with Tachyarrhythmias in Non-cardiac Surgery

https://doi.org/10.21320/1818-474X-2017-1-38-56
Published 24.03.2017
Victoria V. Myasnikova
S.N. Fyodorov IRTC «Eye Microsurgery», Krasnodar, Russia; Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0003-1748-7962
N.B. Karakhalis
Ochapovsky Regional Clinical Hospital, Research Institute, Krasnodar, Russia; Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0002-6266-4799
T.S. Musaeva
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0001-9285-852X
I.B. Zabolotskikh
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0002-3623-2546
#20171
PDF_2017-1_38-56 (Русский)

Keywords

tachyarrhythmia
perioperative management
non-cardiac patients
anti-arrhythmic drugs

How to Cite

Myasnikova V.V., Karakhalis N.B., Musaeva T.S., Zabolotskikh I.B. Perioperative Management of Patients with Tachyarrhythmias in Non-cardiac Surgery. Annals of Critical Care. 2017;(1):38–56. doi:10.21320/1818-474X-2017-1-38-56.
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Abstract

Introduction. Treatment of patients with cardiovascular diseases has dramatically changed over past decades. Accompanied by an incredible increase in pathophysiological understanding and availability of treatment options, surgical and anesthetic technics have rapidly evolved. The understanding of electrophysiological basics of arrhythmia, pharmacological and non- pharmacological approaches its treatment, in many respects determines clinical efficacy of perioperative management patients with comorbidities by anesthesiologists. Objectives. This article reviewed Russian and international guidelines and recommendations on tachyarrhythmia’s management in non-cardiac surgery patients. The arrhythmia classifications in respect to potential danger have pointed out with special emphasis on life-threatening ones. It has been shown information about preoperative examination, medication choice in accordance with pro-arrhyhmogenic activity. All arrhythmia issues have presented according to their prevalence in population: supraventricular extrasystole and tachycardia, atrial fibrillation/flutter, ventricular beats, ventricular tachycardia, ventricular fibrillation. Review included the information about such life-threatening rhythm disorders as WPW syndrome and Torsades des pointes. We analyzed perioperative assessment, risk stratification, choice the anesthesia methods, and monitoring settings in arrhythmic patients. Conclusion. The management algorithms of different kinds of tachyarrhythmias have been shown both chronic and acute perioperative cases.

https://doi.org/10.21320/1818-474X-2017-1-38-56
PDF_2017-1_38-56 (Русский)

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