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Another case for the Anesthesia X files
23 y/o female who was scheduled radiofrequency ablation for presumed paroxismal ventricular tachycardia which was noted to occur several times postoperatively. Patient had undergone three surgeries in the past including knee arthroscopy, sinus surgery for chronic sinusitis and neurostimulator for bladder spasticity. After all these surgeries patient had been noted to develop severe weakness and respiratory distress which would require reintubation and ICU admission.
During her scheduled RFA, EP was unable to unmask said ventricular arrythmia and no ablation was performed. During emergence, patient again developed generalized weakness with inability to ambulate, respiratory distress and arrythmia unmasked again. Patient admitted to ICU.
What ya thinking?
23 y/o female who was scheduled radiofrequency ablation for presumed paroxismal ventricular tachycardia which was noted to occur several times postoperatively. Patient had undergone three surgeries in the past including knee arthroscopy, sinus surgery for chronic sinusitis and neurostimulator for bladder spasticity. After all these surgeries patient had been noted to develop severe weakness and respiratory distress which would require reintubation and ICU admission.
During her scheduled RFA, EP was unable to unmask said ventricular arrythmia and no ablation was performed. During emergence, patient again developed generalized weakness with inability to ambulate, respiratory distress and arrythmia unmasked again. Patient admitted to ICU.
What ya thinking?