Anesthetic Management for Lung Adenocarcinoma Experienced Acute Neurocardiogenic Syncope and Cardiac Arrest.
10.12771/emj.2014.37.S.S28
- Author:
Jin Hye HAN
1
;
Youn Jin KIM
;
Jong Hak KIM
;
Dong Yeon KIM
;
Guie Yong LEE
;
Chi Hyo KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea. ankyj@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Anesthesia;
Lung neoplasms;
Syncope, vasovagal
- MeSH:
Adenocarcinoma*;
Anesthesia;
Anesthetics;
Biopsy, Fine-Needle;
Cardiopulmonary Resuscitation;
Female;
Heart Arrest*;
Humans;
Lung Neoplasms;
Lung*;
Middle Aged;
Syncope;
Syncope, Vasovagal*;
Unconsciousness
- From:The Ewha Medical Journal
2014;37(Suppl):S28-S32
- CountryRepublic of Korea
- Language:English
-
Abstract:
Vasovagal syncope is one of the most common causes of transient syncope during anesthesia for elective surgery in patients with a history of syncope and requires special attention and management of anesthetics. The causes and pathophysiological mechanism of this condition are poorly understood, but it has a benign clinical course and recovers spontaneously. However, in some cases, this condition may cause cardiovascular collapse resulting in major ischemic organ injury and be life threatening. Herein we report a case and review literature, regarding completing anesthesia safely during an elective surgery of a 59-year-old female patient with history of loss of consciousness due to suspected vasovagal syncope followed by cardiovascular collapse and cardiac arrest, which required cardiopulmonary resuscitation and insertion of a temporary pacemaker and intra-aortic balloon pump immediately after a fine-needle aspiration biopsy of a lung nodule located in the right middle lobe.
