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A case of cardiac arrest right after postural change in epidural anesthesia
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- Masuda Naoki
- <I>Department of Anesthesia, Kurashiki Central Hospital</I>
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- Koizumi Yumika
- <I>Department of Anesthesia, Kurashiki Central Hospital</I>
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- Miyazaki Takanao
- <I>Department of Anesthesia, Kurashiki Central Hospital</I>
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- Togou Youko
- <I>Department of Anesthesia, Kurashiki Central Hospital</I>
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- Yonei Akitomo
- <I>Department of Anesthesia, Kurashiki Central Hospital</I>
Bibliographic Information
- Other Title
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- 硬膜外麻酔中の体位変換直後に心停止をきたした1例
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Description
We report a case of 46-year-old man who fell in cardiac arrest right after postural change. He was scheduled for extracorporeal shock wave lithotripsy (ESWL) for pancreatic duct stones under thoracic epidural anesthesia. Epidural catheter had been placed in T8/9 interspace. The patient took a prone position after injection of 1% mepivacaine 6ml, then ESWL was performed. Thirty minutes later, he was returned to supine position, and suddenly fell in standstill. He was resuscitated successfully with cardiac massage and administration of atropine. We postulated that the cardiac arrest was induced by relative vago-tonic condition by epidural anesthesia and postural change. We should pay more attention to the possibility of severe bradycardia and cardiac arrest when postural change is necessary in patients having epidural anesthesia.
Journal
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- Japanese Journal of Reanimatology
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Japanese Journal of Reanimatology 21 (2), 38-40, 2002
The Japanese Society of Reanimatology
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Details 詳細情報について
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- CRID
- 1390282681435078144
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- NII Article ID
- 10009652482
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- NII Book ID
- AN10043787
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- ISSN
- 1884748X
- 02884348
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed