Cardiac arrest in the prone position with the Andrews frame during lumbar spine surgery: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 768-772, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-212846
ABSTRACT
The prone position during anesthesia sometimes causes hemodynamic changes such as a decrease in blood pressure. These changes are caused by a decrease in venous return from venous pooling in the legs, and decreased left ventricular compliance secondary to increased intrathoracic pressure, when patients are placed prone with an Andrews frame. We report on a patient who experienced cardiac arrest in the prone position with the Andrews frame during lumbar laminectomy and posterior lumbar interbody fusion. After 1.25 h in the prone position, bradycardia and hypotension occurred. Ephedrine, atropine and epinephrine were infused intravenously, but bradycardia and hypotension progressed to asystole. Cardioinhibitory reflex was likely triggered by decreased venous return and increased intrathoracic pressure, and the patient developed cardiac arrest as a result.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reflexo
/
Atropina
/
Coluna Vertebral
/
Pressão Sanguínea
/
Bradicardia
/
Epinefrina
/
Decúbito Ventral
/
Complacência (Medida de Distensibilidade)
/
Efedrina
/
Parada Cardíaca
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2009
Tipo de documento:
Artigo
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