Arrhythmia Evaluation and Management in the Surgical ICU

  • Edward Kelly


Cardiac dysrhythmia is a frequent complication in critically ill surgical patients and presents intensive care clinicians with the dual challenges of rapid accurate diagnosis and rapid lifesaving intervention. This chapter will review the origins and risk factors for rhythm disturbances and provide the framework for rapid effective treatment.


Cardiac dysrhythmia Rhythm disturbances Antiarrhythmic drugs Cardioversion Tachycardia Atrial fibrillation Ventricular tachycardia Ventricular fibrillation Bradycardia Sinus bradycardia Atrioventricular block 

Suggested Readings

  1. 1.
    Annane D, Sebille V, Duboc D, Le Heuzey J, Sadoul N, Bouvier E, Bellissant E. Incidence and prognosis of sustained arrhythmias in critically ill patients. AJRCCM. 2008;178:20–5.Google Scholar
  2. 2.
    Barnes BJ, Hollands JM. Drug-induced arrhythmias. Crit Care Med. 2010;38(6 Suppl):S188–97.CrossRefGoogle Scholar
  3. 3.
    Layland J, Carrick D, Lee M, Oldroyd K, Berry C. Adenosine physiology, pharmacology, and clinical applications. J Am Coll Cardiol Intv. 2014;7:581–91.CrossRefGoogle Scholar
  4. 4.
    Zipes DP, Camm AJ, et al. AHA/ESC 2006 Guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Circulation. 2006;114:e385–484.CrossRefGoogle Scholar
  5. 5.
    January CT, Wann LS, et al. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. Circulation. 2014;129:000.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Harvard Medical School, Division of Trauma, Burns, and Surgical Critical Care, Department of SurgeryBrigham and Women’s HospitalBostonUSA

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