Anesthetic Management of Rapid Ventricular Response Atrial Fibrillation in an Elderly Woman Using Remifentanil; A Case Report

Atrial fibrillation (af) is the most common cardiac arrhythmia in all clinical settings. in the setting of atrial fibrillation with the rapid ventricular response (afib with rvr), early rate control (with or without restoration of the sinus rhythm) is the center of management. several drugs are used to manage rapid ventricular response af, but the optimal one is unknown yet. this case report presents an elderly woman undergoing urgent ophthalmic surgery whose rapid remifentanil controlled ventricular response af.