Severe Bradycardia and Hypotension during Spinal Anesthesia in a Patient with Agent Orange Sequela: A case report.
10.4097/kjae.1998.34.3.650
- Author:
Chae Sik YUN
1
;
Jun Hak LEE
;
Jung Yun LEE
;
Ki Nam LEE
;
Jun Il MOON
Author Information
1. Department of Anesthesiology, Presbyterian Medical Center, Chonju, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia: spinal;
Complications: bradycardia;
hypotension;
Nerve: neuropathy;
peripheral;
Toxicity: agent orange
- MeSH:
Anesthesia, Spinal*;
Arthroscopy;
Bradycardia*;
Citrus sinensis*;
Congenital Abnormalities;
Herbicides;
Humans;
Hypotension*;
Middle Aged;
Peripheral Nervous System Diseases;
Porphyrias;
Skin;
Veterans;
Vietnam
- From:Korean Journal of Anesthesiology
1998;34(3):650-654
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Various defoliant herbicides were sprayed to kill vegetation and thereby denied cover to enemy forces in Vietnam war, and the defoliant was later alleged to have caused long-lasting health problems such as cancers, birth defects, skin disorders, hepatic dysfunction, porphyria, peripheral neuropathy, and impaired immune function. We experienced a case of severe bradycardia and hypotension during spinal anesthesia for diagnostic arthroscopy in a 53-year-old Vietnam veteran with peripheral neuropathy. We concluded that it should require constant monitoring and vigilance to prevent severe cardiovascular complications during spinal anesthesia in Agent Orange sequela patients with peripheral neuropathy.
