Severe Bradycardia and Hypotension degrees Ccurred during Positional Change in an Acute Cervical Spinal Cord Injury Patient under General Anesthesia.
10.4097/kjae.1998.34.3.655
- Author:
Heon Young AHN
1
;
Ju Tae SOHN
;
Il Woo SHIN
;
Sung Jae KIM
;
Heon Keun LEE
;
Young Kyun CHUNG
Author Information
1. Department of Anesthesiology, Gyeongsang National University, Chinju, Korea.
- Publication Type:Case Report
- Keywords:
Heart, arrhythmia: bradycardia;
Parasympathetic nervous system: atropine;
Position: prone;
Spinal cord: injury
- MeSH:
Anesthesia, General*;
Atropine;
Autonomic Nervous System;
Bradycardia*;
Ephedrine;
Heart;
Humans;
Hypotension*;
Prone Position;
Spinal Cord Injuries*;
Spinal Cord*;
Suction
- From:Korean Journal of Anesthesiology
1998;34(3):655-659
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Bradycardia is recognized as an acute complication of cervical cord injury. The etiology of such a phenomenon is believed to be due to an imbalance in the autonomic nervous system imposed on the heart by a cervical cord injury. The majority of the episodes of bradycardia degrees Ccurred either with tracheal suctioning or with changes in position. We experienced a case of severe bradycardia and hypotension when turning the patient with acute cervical spinal cord injury to the prone position, which was reversed by administration of intravenous atropine and ephedrine.
