Torsade de Pointes in a Patient with Acute Prolonged QT Syndrome and Poorly Controlled Diabetes during Sevoflurane Anaesthesia

Abstract

We report a case of torsade de pointes secondary to acute QT interval prolongation in a patient with poorly controlled diabetes mellitus towards the end of a laparoscopic nephrectomy under sevoflurane anaesthesia. The patient was successfully resuscitated and made a complete recovery. Our case suggests that acute QT interval prolongation should be considered in any patient with poor glycaemic control during prolonged procedures.