Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 209-219, 2012.
Article
in English
| WPRIM
| ID: wpr-181047
ABSTRACT
Sudden, profound hypotensive and bradycardic events (HBEs) have been reported in more than 20% of patients undergoing shoulder arthroscopy in the sitting position. Although HBEs may be associated with the adverse effects of interscalene brachial plexus block (ISBPB) in the sitting position, the underlying mechanisms responsible for HBEs during the course of shoulder surgery are not well understood. The basic mechanisms of HBEs may be associated with the underlying mechanisms responsible for vasovagal syncope, carotid sinus hypersensitivity or orthostatic syncope. In this review, we discussed the possible mechanisms of HBEs during shoulder arthroscopic surgery, in the sitting position, under ISBPB. In particular, we focused on the relationship between HBEs and various types of syncopal reactions, the relationship between HBEs and the Bezold-Jarisch reflex, and the new contributing factors for the occurrence of HBEs, such as stellate ganglion block or the intraoperative administration of intravenous fentanyl.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arthroscopy
/
Reflex
/
Shoulder
/
Stellate Ganglion
/
Syncope
/
Brachial Plexus
/
Bradycardia
/
Carotid Sinus
/
Fentanyl
/
Syncope, Vasovagal
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2012
Type:
Article
Similar
MEDLINE
...
LILACS
LIS