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Case Report
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- Successful neural modulation of bedside modified thoracic epidural anesthesia for ventricular tachycardia electrical storm
- Ki-Woon Kang
- Acute Crit Care. 2024;39(4):643-646. Published online May 31, 2022
- DOI: https://doi.org/10.4266/acc.2021.01683
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- 2 Web of Science
- 2 Crossref
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Abstract
PDF - Ventricular tachycardia (VT)/ventricular fibrillation (VF) storm can be hemodynamically compromising and life-threatening. Management of medically refractory VT/VF storm is challenging in the intensive care unit. A 38-year-old male patient was diagnosed with non-ischemic heart failure and acute kidney injury with documented frequent premature ventricular contraction with QT prolongation after recurrent VT/VF. Even though the patient was intubated with sedatives and had taken more than two anti-arrhythmic drugs with external recurrent defibrillation at bedside, the electrical storm persisted for several hours. However, medically refractory VT/VF storm can be successfully and rapidly terminated with a modified thoracic epidural anesthesia at bedside. This case demonstrates that a bedside thoracic epidural anesthesia can be an effective non-pharmacological option to treat medically refractory VT/VF storm in the intensive care unit.
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Citations
Citations to this article as recorded by
- Continuous stellate ganglion block for ventricular arrhythmias: case series, systematic review, and differences from thoracic epidural anaesthesia
Veronica Dusi, Filippo Angelini, Enrico Baldi, Antonio Toscano, Carol Gravinese, Simone Frea, Sara Compagnoni, Arianna Morena, Andrea Saglietto, Eleonora Balzani, Matteo Giunta, Andrea Costamagna, Mauro Rinaldi, Anna Chiara Trompeo, Roberto Rordorf, Matte
Europace.2024;[Epub] CrossRef - Antiarrhythmic Mechanisms of Epidural Blockade After Myocardial Infarction
Jonathan D. Hoang, Valerie Y.H. van Weperen, Ki-Woon Kang, Neil R. Jani, Mohammed A. Swid, Christopher A. Chan, Zulfiqar Ali Lokhandwala, Robert L. Lux, Marmar Vaseghi
Circulation Research.2024;[Epub] CrossRef
- Continuous stellate ganglion block for ventricular arrhythmias: case series, systematic review, and differences from thoracic epidural anaesthesia
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