Complications during Spinal Anesthesia：Precautions and Prevention, with a Focus on Cardiac Arrest

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  • MATSUKI Akitomo
    Department of Anesthesiology, Hirosaki University Graduate School of Medicine

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  • 脊髄くも膜下麻酔の合併症：その予防と対策─とくにCardiac Arrestに焦点を当てて─

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<p>Cardiac arrest is the most serious complication during spinal anesthesia. Between 1945 and 2000, several hundred patients including many children and adolescents died due to high spinal anesthesia in Japan. These deaths were attributed either to the patient’s general physical condition or to the poor quality of the local anesthetics used. In my 1999 book Deaths During Spinal Anesthesia in Japan, I explain that the true cause of such deaths is the lack of careful observation of patients during and after spinal anesthesia. It was a strong warning to non-anesthesiologist physicians who administer spinal anesthesia. Since that time, the number of deaths has declined dramatically. Complications can be avoided by discarding the assumption that your patient is not at risk for cardiac arrest, and by observing your patient for at least two hours after spinal anesthesia.</p>

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