The most common arrhythmias during anesthesia: causes, detection and therapy. Part 2

Dr. Robert TRUJANOVIC
Dipl. ECVAA
Duration : 24 min
Anesthesiology and analgesia
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  • Single, uniform, premature ventricular complexes (VPCs) do not usually cause hemodynamic compromise and are at a low risk for electrical instability. As long as the VPCs are infrequent, and the heart rate and blood pressure remain stable, no additional treatment is necessary
  • Higher grade arrhythmias such as ventricular tachycardia warrant immediate medical intervention.
  • Accelerated idioventricular Rhythm (AIVR) is commonly seen in patients in the 24 hours following a splenectomy or surgery for gastric dilatation and volvulus. Accelerated idioventricular rhythms are identified as abnormal, wide, and bizarre beats that do not come prematurely. It is important to differentiate AIVR from ventricular tachycardia, because AIVR does not typically cause hemodynamic compromise and won’t respond to anti-arrhythmic medications. If AIVR is identified the procedure does not need to be stopped.
Dr Robert Trujanovic studied at the Faculty of Veterinary Medicine in Belgrade, where he graduated in veterinary medicine in 2015. He moved to Vienna in 2015 to start his position as assistant doctor in anesthesiology at the University of Veterinary Medicine Vienna, and later, he completed his internship there from 2017-2018.

During this time, his interest in veterinary anesthesia deepened further and he started a residency at the Vetmeduni Vienna in 2018, which was completed in 2021.

In addition, he is a passionate regional anesthetist, passing on his knowledge through the latest learning methods. He led a team of experts in veterinary medicine and invested a great deal of passion into creating the first mobile app - the Vet RA App - focused on the most commonly used nerve blocks in small animals.