scholarly journals Atrial Fibrillation that required Cardioversion in the Post Anesthetic Recovery Unit in Ambulatory Surgery. A case report

2021 ◽  
Vol 21 (4) ◽  
pp. 860-866
Author(s):  
Miryam Elizabeth Céspedes Morón ◽  
Rosina Ruiz Roque ◽  
Fredy Chipa Ccasani
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Patient Care ◽  
Postoperative Period ◽  
Ambulatory Surgery ◽  
Quality Care ◽  
Electrical Cardioversion ◽  
Care Staff ◽  
Diagnostic Strategy ◽  
Recovery Unit

In recent years, the profile of patients who can undergo ambulatory surgery procedures in independent ambulatory surgical centers has changed. It is very important to consider the availability, skills and experience of the care staff, as well as the integral study of the patient, the resolution capacity of these centers and evaluations with quality care indicators to obtain optimal results. The present case was of a 34-year-old male, first presentation of rapid and symptomatic atrial fibrillation documented in the immediate postoperative period. Patient care, diagnostic strategy and treatment were described, since the patient required electrical cardioversion.

Unexplained increase in serum digoxin: a case report

1994 ◽  
Vol 40 (3) ◽  
pp. 487-492 ◽  
Author(s):  
M H Doolittle ◽  
K Lincoln ◽  
S W Graves
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Arrest ◽  
Cardiac Surgery ◽  
Case Report ◽  
Ventricular Fibrillation ◽  
Postoperative Period ◽  
High Serum ◽  
Serum Digoxin ◽  
Repeated Analysis ◽  
Analytical Approaches

Abstract We describe a patient with unexpectedly high serum digoxin after cardiac surgery. To control atrial fibrillation in the immediate postoperative period, she was given a brief trial of digoxin (four 0.25-mg doses) over 12 h. Serum digoxin 6 h later was 2.5 micrograms/L. Two days later, the patient developed ventricular fibrillation, which progressed to cardiac arrest. During or immediately after resuscitation, blood was drawn for a digoxin measurement, and the concentration reported was 9.3 micrograms/L; this result was verified by repeated analysis. Digoxin decreased rapidly and progressively to near 4.0 micrograms/L over the next several hours and thereafter decreased slowly to 1.0 microgram/L over the next 11 days, despite no digoxin being administered. The unexpectedly high digoxin raised questions about the accuracy of the digoxin measurement, particularly about the possible influence of the digoxin-like immunoreactive factor. Analytical approaches to distinguishing true digoxin from this factor and other artifacts of digoxin measurement were applied to this patient, with unanticipated results.

"Be-well, work well": Integrating health protection and health promotion for hospital patient care staff

2013 ◽  
Author(s):  
Lorraine M. Wallace ◽  
Jack T. Dennerlein ◽  
Deborah McLellan ◽  
Dean Hashimoto ◽  
Glorian Sorensen
Keyword(s):  
Health Promotion ◽  
Patient Care ◽  
Health Protection ◽  
Care Staff ◽  
Hospital Patient

Robotic-Assisted Left Atrial Ligation for Stroke Reduction in Chronic Atrial Fibrillation: A Case Report

2006 ◽  
Vol 9 (1) ◽  
pp. E533-E535 ◽  
Author(s):  
Bob Kiaii ◽  
R. Scott McClure ◽  
Alan C. Skanes ◽  
Ian G. Ross ◽  
Alison R. Spouge ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Left Atrial ◽  
Chronic Atrial Fibrillation ◽  
Robotic Assisted
Sign in / Sign up

Export Citation Format

Share Document