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Korean Journal of Anesthesiology 2009;57(2):233-236.
DOI: https://doi.org/10.4097/kjae.2009.57.2.233   
Sinus bradycardia following saline irrigation of the pleural cavity during a video-assisted thoracoscopic surgery: A case report.
Sang Jin Park, Dong Won Lee
Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University, Daegu, Korea. apsj0718@naver.com
A 43-year-old man underwent lipoma excision operation with video-assisted thoracoscopic surgery (VATS). Upon completion of the surgery, 20degrees C cold saline irrigation was performed to clean the surgical field. During this procedure, a sudden sinus bradycardia (33 beats/min) occurred. After interruption of the irrigation, the normal sinus rhythm returned spontaneously. With the suspicion that the cold saline could have induced the bradycardia, 40degrees C warm saline irrigation was performed; however, the repeat sinus bradycardia occurred again. The saline irrigation was stopped and the heart rate returned to normal. We conclude that although warm saline irrigation is a common practice after surgical procedures to ensure hemostasis and to clean the surgical field, it may induce profound sinus bradycardia.
Key Words: Bradycardia; Saline irrigation; Video-assisted thoracoscopic surgery


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