Positional and ventilatory mechanics in the unexpected resolution of glycopyrrolate-induced tachycardia: a case report
Abstract
A 28-year-old woman developed drug-induced tachycardia in the left lateral decubitus (LLD) position following intravenous administration of glycopyrrolate. The tachycardia was unresponsive to esmolol, labetalol, and fentanyl but resolved unexpectedly after the tidal volume was reduced from 8 to 6 mL/kg. Drug-induced tachycardia or arrhythmia occurring in the LLD position under mechanical ventilation may be attenuated by adopting a low tidal volume ventilation strategy (6 mL/kg).
Fields of Study & Subjects
Cardiovascular Syncope and Autonomic Disorders
Cardiac electrophysiology and arrhythmias
Cardiac Arrest and Resuscitation
Publication details
- Journal / source
- Ewha Medical Journal
- Publisher
- The Ewha Medical Journal, Ewha Womans University College of Medicine
- Volume
- 49
- Issue
- 1
- Pages
- e6–e6
- Publication date
- 30 January 2026
- Language
- EN