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Atrial Fibrillation under Sub Arachnoid Block:Is Hydrogen Peroxide Irrigation the Culprit?


Affiliations
1 Department of Anaesthesia and Critical Care, King Georges Medical University, Lucknow, India
 

A 67 year old man posted for wound debridement of septic arthritis of the left hip developed atrial fibrillation after hydrogen peroxide irrigation during spinal anesthesia. Hydrogen peroxide is known to cause oxidative stress and air emboli leading to cardiac arrest. It has also been seen to affect action potential of cardiac myocytes in guinea pigs, but studies in humans are lacking. Exact cause of this event could not be elicited but hydrogen peroxide as a causative agent could not be ruled out either.

Keywords

Atrial Fibrillation, Hydrogen Peroxide, Subarachnoid Block.
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  • Atrial Fibrillation under Sub Arachnoid Block:Is Hydrogen Peroxide Irrigation the Culprit?

Abstract Views: 272  |  PDF Views: 78

Authors

Priyal Gupta
Department of Anaesthesia and Critical Care, King Georges Medical University, Lucknow, India
Tanmay Tiwari
Department of Anaesthesia and Critical Care, King Georges Medical University, Lucknow, India

Abstract


A 67 year old man posted for wound debridement of septic arthritis of the left hip developed atrial fibrillation after hydrogen peroxide irrigation during spinal anesthesia. Hydrogen peroxide is known to cause oxidative stress and air emboli leading to cardiac arrest. It has also been seen to affect action potential of cardiac myocytes in guinea pigs, but studies in humans are lacking. Exact cause of this event could not be elicited but hydrogen peroxide as a causative agent could not be ruled out either.

Keywords


Atrial Fibrillation, Hydrogen Peroxide, Subarachnoid Block.

References