| Clipping of the appendix induced cardiac arrest during appendectomy under spinal anesthesia. | |
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MedLine Citation:
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PMID: 16237811 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Bradycardia is commonly seen in high spinal anesthesia, however, evolution of cardiac arrest from sudden onset of severe bradycardia is infrequent. Prompt recognization and resuscitative measures are of paramount importance because they may insure a complete recovery without sequela as an aftermath. We report herein a case of severe sinus bradycardia induced by clipping of the appendix during appendectomy under spinal anesthesia with the sensory block up to T5 dermatome. Prompt intravenous atropine failed to regain normal sinus rhythm, and cardiac arrest ensued. Cardiac massage, manual ventilation with oxygen and low-dose epinephrine successfully resuscitated the patient. The possible mechanisms and management of this complication are also discussed. |
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Authors:
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Ya-Ching Ke; Haun-De Yi; Chih-Ping Yang; Hsien-Kuang Lee; Chang-Po Kuo; Chih-Shung Wong |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta anaesthesiologica Taiwanica : official journal of the Taiwan Society of Anesthesiologists Volume: 43 ISSN: 1875-4597 ISO Abbreviation: - Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-10-20 Completed Date: 2005-11-03 Revised Date: 2008-04-07 |
Medline Journal Info:
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Nlm Unique ID: 101214918 Medline TA: Acta Anaesthesiol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 183-6 Citation Subset: IM |
Affiliation:
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Division of Anesthesia, Armed Forces Taoyuan General Hospital, Taoyuan, Taiwan, ROC. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Spinal
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adverse effects* Appendectomy / adverse effects* Bradycardia / etiology Heart Arrest / etiology* Humans Male Middle Aged Reflex Vagus Nerve / physiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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