The possible management of dysrhythmias shold be directed towards the cause including possible hypoxia, hypercarbia, electrolyte disturbance, myocardial ischaemia or infraction, anaesthetic overdose, hypertensive or hypotensive episodes or possible drugs interaction. The anaesthetic management for dysrhythmias should start in the preoperative period thorough preoperative assessment of the case for possible cause of dysrhythmias. The intraoperative monitoring is very important for early detection and management of arrhythmias. The post operative follow up for possible reactivation or compilations should also be considered.