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Indian Journal of Anesthesia and Analgesia 12(4):p 295-296, Oct. - Dec. 2025. | DOI: 10.21088/ijaa.2349.8471.12425.4
Case Report
A Case of Persistent Atrial Fibrillation for Laparoscopic Cholecystectomy
Kiran N null, Jammula Pavani, Kurra Rahul, Meghana Patel, A. Anitha null
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Anesthesia and Analgesia 12(4):p 295-296, Oct. - Dec. 2025. | DOI: 10.21088/ijaa.2349.8471.12425.4
How Cite This Article:
Subramaniam S, Haribabu V. Comparison between levobupivacaine vs ropivacaine in thoracic epidural anaesthesia for modified radical mastectomy: a randomised controlled trial. Ind J Anesth Analg. 2025;12(4):295-6.Timeline
Received : October 04, 2025
Accepted : December 13, 2025
Published : December 30, 2025
Abstract
Introduction: Atrial fibrillation can be disturbing to the patient, may present as palpitations, syncope. When persistent and causing Haemodynamic disturbances to be treated, either pharmacologically when stable or with Cardioversion under sedation.
Case Report: Our patient aged 50 years male presented with pain abdomen, diagnosed as cholelithiasis. He also presented with palpitations, with an irregular heart rate, giddiness; when ECG was taken it showed a Heart rate of 130 to 150 and had no p waves and irregularly irregular. (Figure 1) (to add).
ECG Showed Atrial Fibrillation and Left Ventricular hypertrophy, Chest X-ray showed increased bronchovascular markings; 2D ECHO showed Mild Concentric LVH, Trivial MR and AR, Mild TR; EF:50%,HbA1c of 9.3%. Other Investigations within normal limits.
Patient was started on Tab. Metoprolol 50mg Twice daily and Tab Rivaxa 20mg once daily for one week and heart rate came down to 70bpm.Tab Rivaxa was stopped 12 hrs before surgery.
Premedicated with Inj.Fentanyl 100mcg, Inj.Loxicard 100mg, Induced with Inj. Propofol 100mg and Intubated with Inj Suxamethonium 100mg. Maintained with O2, N2O and Isoflurane and Inj Vecuronium. Monitored with HR, NIBP, SPO2, Temperature. IV fluids RL&NS were given. Analgesia with Fentanyl, IV Paracetamol. Was uneventful. Reversed with Inj Neostigmine & Inj Glycopyrrolate and extubated. Post-operative period was uneventful.
Conclusion: We successfully managed a patient with symptomatic Atrial Fibrillation with B blockers and without cardioversion.
References
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- 2. Sethi SK, Jain N, Khare A, Singhal V. Anesthetic management of a patient with atrial fibrillation posted for emergency exploratory laparotomy for perforation peritonitis: a review of literature. Anaesth Pain Intensive Care. 2016;20(2):240-3.
- 3. Thompson A, Basler JR. Perioperative cardiac arrhythmias. Br J Anaesth. 2004;93(1):86-94.
- 4. Rogers WR, Wroblewski F, Ladue JS. Supraventricular tachycardia complicating surgical procedures: a study of the contributing cases, course and treatment of this complication in the fifty patients. Circulation. 1953;7(2):192-9.
- 5. Platia EV, Michelson EL, Porterfield JK, Das G. Esmolol versus verapamil in the acute treatment of atrial fibrillation and atrial flutter. Am J Cardiol. 1989;63(13):925-9.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
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Cite this article
Subramaniam S, Haribabu V. Comparison between levobupivacaine vs ropivacaine in thoracic epidural anaesthesia for modified radical mastectomy: a randomised controlled trial. Ind J Anesth Analg. 2025;12(4):295-6.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| October 04, 2025 | December 13, 2025 | December 30, 2025 |
DOI: 10.21088/ijaa.2349.8471.12425.4
Keywords
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Timeline
| Received | October 04, 2025 |
| Accepted | December 13, 2025 |
| Published | December 30, 2025 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
