Commentary: Postoperative Use and Early Discontinuation of Intravenous Lidocaine in Spine Patients
DOI: 10.29245/2768-5365/2024/2.1151 View / Download PdfJoseph C. Resch1*, David W. Polly, Jr.2
1Department of Pediatrics, Division of Critical Care, University of Minnesota, Minneapolis, MN, USA
2Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN, USA
Intraoperative Supra-Ventricular Tachycardia Revealing Intermittent Wolff-Parkinson-White Syndrome
Mehdi Oudrhiri Safiani*, Nora Fernaoui, Ahlam Chaieri, El Mehdi El Awab, Rachid Moussaoui, Ahmed El Hijri, Abderrahim Azzouzzi
Surgical Resuscitation, Mohammed V University, Rabat, Morocco
Wolff-Parkinson-White Syndrome (WPW) is a congenital cardiac anomaly characterized by the presence of an accessory atrioventricular cardiac bundle called the Kent Bundle. Discovered by Wolf, Parkinson, and White, this condition can result in recurrent, sometimes fatal tachyarrhythmias. WPW is relatively rare, affecting approximately 0.1% to 0.3% of the general population. Its diagnosis relies on electrocardiography. Its management depends on the clinical presentation of each patient, varying in accordance with the severity of symptoms. It can range from vagal maneuvers and first-line anti-arrhythmic drugs to radiofrequency ablation in refractory cases. In this report, we present the case of a 40-year-old man undergoing surgery to remove a urachal cyst. During the intraoperative period, supra-ventricular tachycardia emerged, revealing a previously undiagnosed intermittent WPW syndrome.
DOI: 10.29245/2768-5365/2024/2.1150 View / Download Pdf