Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 209-219, 2012.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artroscopia
/
Reflexo
/
Ombro
/
Gânglio Estrelado
/
Síncope
/
Plexo Braquial
/
Bradicardia
/
Seio Carotídeo
/
Fentanila
/
Síncope Vasovagal
Limite:
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2012
Tipo de documento:
Artigo
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