Cardiac Arrest During Spinal Anesthesia

Cooper, Jeremy

doi:10.1097/00000539-200107000-00058

Cited by 8 publications

(10 citation statements)

References 4 publications

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“…[16] Patients on β blockers and other alternative medicines provide another challenging situations as the cardiac arrest in these patients can be refractory as vasoconstriction mechanisms in the peripheral vasculature may be impaired. [2517] But in the present clinical situation, both the patients were neither receiving any β blockers or other medications nor any sedation was administered before the occurrence of cardiac arrest.…”

Section: Discussionmentioning

confidence: 85%

“…[1] Although the mechanism through which spinal anesthesia induces bradycardia or asystole is not completely known, it is established that the final pathway is the absolute or relative increase in activity of the parasympathetic nervous system. [5] Cardiac arrest has been reported within 12-72 min of spinal anesthesia, while cardiovascular side effects have been reported as late as hours after the administration of spinal anesthesia. [6]…”

Section: Discussionmentioning

confidence: 99%

“…[12345] The explanations and mechanisms related to these mishaps are, however, varied. The common physiological mechanisms probably related to the occurrence of these events are initiated by profound decrease in venous return.…”

Section: Discussionmentioning

confidence: 99%

“…Reduction in right atrial pressure has been observed in 36% of the cases after low spinal levels (below T 4 ) and in 53% of cases with higher blockade levels. [256] The sudden decrease in preload initiates reflexes (pacemaker, Bezold Jarisch's) that can possibly cause severe bradycardia. [7] Higher neuraxial blockade resulting in hypoxia or hypercarbia can cause profound peripheral vasodilatation leading to significant decrease in venous return and poor atrial filling.…”

Section: Discussionmentioning

confidence: 99%

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Unanticipated cardiac arrest under spinal anesthesia: An unavoidable mystery with review of current literature

Kumari

Bajwa²,

Singh³

2014

Anesth Essays Res

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Cardiac arrest during anesthesia and perioperative period is a matter of grave concern for any anesthesiologist. But such mishaps have been reported for one reason or the other in the literary sciences. We are reporting the occurrence of unanticipated delayed cardiac arrest following spinal anesthesia in two young and healthy patients. Fortunately, these patients were successfully resuscitated with timely and appropriate cardiopulmonary resuscitative measures. Occurrence of such cases needs timely reporting and exploring all the possible causes of these unusual and possibly avoidable events. The present case reports are an important addition to a series of recently published mishaps that occurred during spinal anesthesia in young and healthy patients.

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Unanticipated cardiac arrest under spinal anesthesia: An unavoidable mystery with review of current literature

Kumari

Bajwa²,

Singh³

2014

Anesth Essays Res

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“…1 Although, the mechanism through which spinal anesthesia induced bradycardia or asystole is not completely known, it is established that the final pathway is the absolute or relative increase in activity of the parasympathetic nervous system. 9 Cardiac arrest has been reported within 12-72 min of spinal anesthesia, while cardiovascular side effects have been reported as late as hours after administration of spinal anesthesia. 10 Complication occurred after half an hour in our case.…”

Section: Discussionmentioning

confidence: 99%

Successful resuscitation despite prolonged cardiac arrest in a patient with undiagnosed intracranial lesion: a case report

2016

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<p class="abstract"><span lang="EN-US">Perioperative cardiac arrests represent the most serious complication of anesthesia and surgery. It is believed that the incidence and mortality of cardiac arrest has declined because of advanced and increased surgical acuity and patients with extremes of age. We described a case of 31 year old male who had deterioration of cardiorespiratory and hemodynamic status in half an hour period after giving spinal anesthesia for hydrocoele operation. After half an hour of giving spinal anesthesia, patient developed supraventricular tachycardia followed by ventricular tachycardia progressed to cardiorespiratory arrest in a fraction of 2 to 3 minutes. He was unconscious and convulsing. Fortunately, this patient was successfully resuscitated with timely and appropriate measures in form of endotracheal intubation, cardiac defibrillation, antiarrythmic and inotropic cardiac medications and anticonvulsant drugs. Patient was shifted to ICU with ionotropic support and anticonvulsant infusion. Patient had apparently no previous cardiorespiratory or neurological complaints. Post-operative MRI report showed right cerebello-pontine angle cistern lesion suggestive of epidermoid cyst.</span></p>

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Cardiopulmonary Arrest in Spinal Anesthesia

Limongi

Lins

2011

Brazilian Journal of Anesthesiology

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The incidence of spinal anesthesia-related CA varies, and it seems to be lower when compared to that of general anesthesia. In the past, it was believed that CA was due to hypoxemia related especially to excessive sedation. However, nowadays, it is known that the etiology of CA during spinal block anesthesia is related to cardiocirculatory factors, mainly a reduction of preload resulting from sympathetic blockade. Other factors that increase the risk of developing CA also exist. Among those factors, the following should be mentioned: changes in patient positioning and hypovolemia. It is very important to institute treatment as soon as possible. Besides a vagolytic agent, early use of a sympathomimetic drug, especially adrenaline, is also recommended to minimize damage to the patient.

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Cardiac Arrest During Spinal Anesthesia

Cited by 8 publications

References 4 publications

Unanticipated cardiac arrest under spinal anesthesia: An unavoidable mystery with review of current literature

Unanticipated cardiac arrest under spinal anesthesia: An unavoidable mystery with review of current literature

Successful resuscitation despite prolonged cardiac arrest in a patient with undiagnosed intracranial lesion: a case report

Cardiopulmonary Arrest in Spinal Anesthesia

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