Abstract
BACKGROUND: Hyperventilation syndrome (HVS) also known as irritable Heart, Da Costas syndrome or soldier's heart is induced by stress. It comprises various symptoms like hyperventilation, breathlessness, Light-headedness, dizziness carpal-pedal spasm, tachycardia and numbness or paraesthesia and unconsciousness1. MATERIAL AND METHOD: Twenty seven years man, driver by occupation was posted for surgical extraction of impacted lower right third molar tooth under local anesthesia. After inferior alveolar nerve block with Lignocaine and Adrenaline he developed giddiness and started hyperventilating himself. He developed light headedness, chest pain, and feeling of compression over chest, tingling in hand and perioral region. It was followed by breathlessness and carpopedal spasm. Surgical procedure was abandoned. Patient was shifted to bed. To relieve anxiety & pain intravenous Midazolam and Tramadol was given. Patient was asked to rebreathe through paper bag. Breathlessness was treated by Oxygen supplementation through face mask. Next day he was operated under local anesthesia and intravenous sedation with Midazolam and Fentanyl. CONCLUSION: Intravenous midazolam is effective not only in treating the patient of Hyperventilation syndrome but it also helps to prevent it.
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