Severe bradycardia and transient asystole during epidural anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 752-755, 2008.
Article
in Korean
| WPRIM
| ID: wpr-152763
ABSTRACT
The severe bradycardia and asystole are uncommon complications of epidural anesthesia but can be life threatening if not managed properly. A 73-year-old, ASA class 3, male patient was admitted for a total knee replacement under epidural anesthesia. Approximately 10 minutes after epidural anesthesia, the heart rate decreased significantly to 20 beats/min with asystole. The heart rate returned to 80 beats/min after administering atropine, ephedrine, and external cardiac compression. Severe bradycardia and asystole may be induced by vagal activation as a result of the low venous return and sympathetic blockade.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Atropine
/
Bradycardia
/
Arthroplasty, Replacement, Knee
/
Ephedrine
/
Heart Arrest
/
Heart Rate
/
Anesthesia, Epidural
Limits:
Aged
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2008
Type:
Article
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