Increase of blood pressure and heart rate during desflurane inhalation in a patient with tracheostomy state: A case report

Yi, In Kyong; Kim, Jong Yeop; Min, Sang Kee; Park, Sung Yong

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2010;5(4):314-316.
Published online October 31, 2010.

Increase of blood pressure and heart rate during desflurane inhalation in a patient with tracheostomy state: A case report

In Kyong Yi, Jong Yeop Kim, Sang Kee Min, Sung Yong Park

Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine, Suwon, Korea. anepark@hanmail.net

Abstract

A rapid increase in desflurane concentration induces hypertension and tachycardia and increases plasma catecholamine concentration. This sympathetic stimulation occurs when desflurane is inspired with high concentration shortly after anesthetic induction or when the inspired concentration of desflurane is rapidly increased during steady-state periods of anesthesia. We represent a case of increase of blood pressure and heart rate during desflurane inhalation in a patient with tracheostomy state.

Key Words: Cardiovascular response, Complications, Desflurane