{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:59:47Z","timestamp":1787169587744,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>A 65-year-old male post-CABG surgery presented with history of ventricular storm refractory to antiarrhythmics and requiring multiple DC shocks. He got posted for VATs bilateral cardiac denervation for sympathetic remodulation. Patient was induced with high dose opioids and Etomidate and intubated with 37Fr left double lumen tube. A multidisciplinary approach was planned to tackle peri-operative cardiac event along with the placement of invasive monitors. Events that might lead to sympathetic overactivation because of laryngoscopy, pain, capnothorax, and surgical handling were kept in mind and avoided with optimum depth of anesthesia, analgesia, and pharmacological sympatholysis. There was no major cardiac event intraoperatively as well as in postoperative period.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_106_20","type":"journal-article","created":{"date-parts":[[2022,1,21]],"date-time":"2022-01-21T13:32:18Z","timestamp":1642771938000},"page":"103-106","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management of video-assisted thoracoscopic (VATs) bilateral cardiac sympathectomy in refractory ventricular storm"],"prefix":"10.4103","volume":"25","author":[{"given":"Gayatri R","family":"Sakrikar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhavi","family":"Buddhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R D","family":"Patel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shraddha S","family":"Mathkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20240901","first-page":"111","article-title":"The evaluation and management of electrical storm","volume":"38","author":"Eifling","year":"2011","journal-title":"Texas Hear Inst J"},{"key":"R2-19-20240901","first-page":"1","article-title":"Topical airway anesthesia for awake-endoscopic intubation using the spray-as-you-go technique with high oxygen flow?","volume":"2017","author":"Pirlich","year":"2017","journal-title":"J Vis Exp"},{"key":"R3-19-20240901","doi-asserted-by":"crossref","first-page":"e007080","DOI":"10.1161\/JAHA.117.007080","article-title":"Thoracic epidural anesthesia can be effective for the short-term management of ventricular tachycardia storm","volume":"6","author":"Do","year":"2017","journal-title":"J Am Heart Assoc"},{"key":"R4-19-20240901","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1016\/j.hrthm.2005.09.004","article-title":"Use of thoracic epidural anesthesia for management of electrical storm: A case report","volume":"2","author":"Mahajan","year":"2005","journal-title":"Hear Rhythm"},{"key":"R5-19-20240901","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1053\/j.jvca.2017.10.003","article-title":"Paravertebral block for thoracic surgery","volume":"32","author":"D\u2019Ercole","year":"2018","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R6-19-20240901","first-page":"21","article-title":"Use of a single lumen endotracheal tube and continuous CO2 insufflation in transthoracic endoscopic sympathectomy","volume":"33","author":"Wong","year":"1995","journal-title":"Acta Anaesthesiol Sin"},{"key":"R7-19-20240901","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1093\/bjaceaccp\/mkp003","article-title":"Anaesthesia for endoscopic thoracic sympathectomy","volume":"9","author":"Martin","year":"2009","journal-title":"Contin Educ Anaesthesia, Crit Care Pain"},{"key":"R8-19-20240901","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1080\/22201181.2016.1223924","article-title":"Anaesthesia for left thoracoscopic sympathectomy for refractory long QT syndrome: Three case reports","volume":"22","author":"Upadya","year":"2016","journal-title":"South African J Anaesth Analg"},{"key":"R9-19-20240901","doi-asserted-by":"crossref","first-page":"2868","DOI":"10.1007\/s00464-013-2843-5","article-title":"Right or left first during bilateral thoracoscopy?","volume":"27","author":"Kharbanda","year":"2013","journal-title":"Surg Endosc"},{"key":"R10-19-20240901","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.hrthm.2013.11.028","article-title":"Cardiac sympathetic denervation in patients with refractory ventricular arrhythmias or electrical storm: Intermediate and long-term follow-up","volume":"11","author":"Vaseghi","year":"2014","journal-title":"Hear Rhythm"},{"key":"R11-19-20240901","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1053\/j.jvca.2013.08.019","article-title":"Anesthetic considerations for thoracoscopic sympathetic ganglionectomy to treat ventricular tachycardia storm: A single-center experience","volume":"28","author":"Methangkool","year":"2014","journal-title":"J Cardiothorac Vasc Anesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.ACA_106_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:07:59Z","timestamp":1787166479000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.ACA_106_20"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_106_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}