New-onset, postoperative tachyarrhythmias in critically ill surgical patients.

Eileen Bernal, Steven Wolf, Michael Cripps

Journal: Burns : journal of the International Society for Burn Injuries 2019;44(2):249-255

PMID: 28784341

Abstract

Tachyarrhythmias in critically ill surgical patients can have varying effects, from minimal consequence to lifetime sequelae. Atrial fibrillation can be common in the post-operative period, often a result of fluctuations in volume status and electrolyte derangements. While there is extensive literature regarding the critically ill medical or cardiac patient, there is less focusing on the critically ill surgical or trauma patient. More specifically, there is minimal regarding tachyarrhythmias in burn patients. The latter population tends to have frequent and wide variations in volume status given initial resuscitation and after major excisions, concomitant with acute blood loss anemia, which can contribute to cardiac disturbances. A literature review was conducted to investigate the incidence and consequences of tachyarrhythmias in critically ill surgical and trauma patients, with a focus on the burn population. While some similarities and conclusions can be drawn between these surgical populations, further inquiry into the unique burn patient is necessary.

Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Address: Division of Burn/Trauma/Critical Care, University of Texas Southwestern Medical Center, Dallas, TX, USA. Electronic address: [email protected].; Division of Burn/Trauma/Critical Care, University of Texas Southwestern Medical Center, Dallas, TX, USA.
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