Document Detail

Hypertensive emergency as a complication of brachial plexus block.
MedLine Citation:
PMID:  22707657     Owner:  NLM     Status:  MEDLINE    
The authors report a case of hypertensive emergency (defined as systolic blood pressure >180 mm Hg and diastolic blood pressure >110 mm Hg with end organ damage) following brachial plexus blockade in a hypertensive lady with unstable angina. The authors describe blocking of baroreceptor reflexes by the local anaesthetic as a putative mechanism and suggest that this potentially serious complication should be considered when planning this particular anaesthetic technique.
Sajith Chakithandy; Paul Kelly; James Barron
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-03-08
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-18     Completed Date:  2013-02-19     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Anaesthesia, Guy's & St Thomas' Hospital, London, UK.
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MeSH Terms
Aged, 80 and over
Brachial Plexus*
Hypertension / etiology*
Nerve Block / adverse effects*

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