New-onset, postoperative tachyarrhythmias in critically ill surgical patients. Issue 2 (March 2018) - Bernal, Eileen
Highlights: Tachyarrhythmias have a wide variety of consequences in the critically ill surgical patient. Burn patients are susceptible given fluctuations in volume status and electrolyte derangements. Atrial fibrillation and atrial flutter are the more commonly encountered tachyarrhythmias. 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.