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Case Report

Ephemeral Tachyarrhythmia During Laparoscopy: An Enigma

Anu Kewlani, Vighnesh C.S

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Indian Journal of Anesthesia and Analgesia 12(4):p 307-311, Oct. - Dec. 2025. | DOI: 10.21088/ijaa.2349.8471.12425.7

How Cite This Article:

Vighnesh CS, Kewlani A. Ephemeral tachyarrhythmia during laparoscopy: an enigma. Ind J Anesth Analg. 2025;12(4):307-11.

Timeline

Received : July 16, 2025         Accepted : August 28, 2025          Published : December 30, 2025

Abstract

The advent of laparoscopy as a component of enhanced recovery after surgery (ERAS) has had astronomical repercussions from an anaesthetic viewpoint and management of the patient in the perioperative period. The creation of a pneumoperitoneum alters the milieu interieur of the patient in a way that is not quite well understood. Here, we present the case of a 13-year-old female patient ailing from pain abdomen and fever under evaluation posted for diagnostic laparoscopy under ASA IE The patient developed unforeseen ECG changes of sinus tachycardia with ST Depressions and T wave inversions in II, III, and aVF immediately post-insufflation of pneumoperitoneum. Despite extensive intraoperative and postoperative work-up the event remains an enigma underscoring the unpredictable repercussions of pneumoperitoneum on the physiology and the role of anaesthesiologists in diagnosing and treating these events in seconds to avoid catastrophic outcomes.

References

  • 1.   Alkatout I, Mechler U, Mettler L, Pape J, Maass N, Biebl M, et al. The development of laparoscopy—a historical overview. Front Surg. 2021;8:799442. (Note: I added the specific article number
  • 2.   Gupta R, Singh S. Challenges in paediatric laparoscopic surgeries. Indian J Anaesth. 2009;53(5):560-6.
  • 3.   Srivastava A, Niranjan A. Secrets of safe laparoscopic surgery: anaesthetic and surgical considerations. J Minim Access Surg. 2010;6(4):91-4. (Note: Corrected the journal abbreviation to
  • 4.   Hanna EB, Glancy DL. ST-segment depression and T-wave inversion: classification, differential diagnosis, and caveats. Cleve Clin J Med. 2011;78(6):404–14.
  • 5.   Alshahrani W, Almaary J. Pneumomediastinum and ECG changes during laparoscopic Nissen fundoplication in a child: case report. Int J Surg Case Rep. 2020;77:830-3.
  • 6.   Knos GB, Sung YF, Toledo A. Pneumopericardium associated with laparoscopy. J Clin Anesth. 1991;3(1):56-9.
  • 7.   Galindo D, Martin E, Franzen D. Pneumopericardium after laparoscopic hernia repair presents with ST-segment changes: a case report. Clin Pract Cases Emerg Med. 2021;5(2):178-81.

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

Vighnesh CS, Kewlani A. Ephemeral tachyarrhythmia during laparoscopy: an enigma. Ind J Anesth Analg. 2025;12(4):307-11.

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
July 16, 2025 August 28, 2025 December 30, 2025
DOI: 10.21088/ijaa.2349.8471.12425.7

Keywords

Laparoscopic AppendectomyTachyarrhythmiaPneumoperitoneumPaediatric AnaesthesiaST Segment Depression

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Timeline

Received July 16, 2025
Accepted August 28, 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


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