A Case of Sudden Hypotension Following Intraoperative Intercostal Nerve Block.
10.4097/kjae.1994.27.5.503
- Author:
Jeong Ja SONG
1
;
Sang Kyi LEE
;
Ja Hong KUH
;
He Sun SONG
Author Information
1. Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea.
- Publication Type:Case Report
- Keywords:
Intercostal nerve block;
Bupivacaine;
Postoperative pain;
Hypotension
- MeSH:
Anoxia;
Bradycardia;
Bupivacaine;
Cough;
Ephedrine;
Humans;
Hypotension*;
Intercostal Nerves*;
Male;
Pain, Postoperative;
Respiration;
Thoracotomy;
Ventilation;
Young Adult
- From:Korean Journal of Anesthesiology
1994;27(5):503-508
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postoperative pain may be associated with shallow breathing, inability to cough, and reduction in spirometric values which lead to restrictive pattern of ventilation with hypoxemia and/or hypercarbia. Therefore, postoperative pain should be managed with appropriate methods. The authors have usually performed intraoperative intercostal nerve block with 0.25% bupivacaine hydrochloride to alleviate postoperative thoracotomy pain. A 21 years old male patient developed sudden hypotension and severe bradycardia 1 minute following the intraoperative 4th, 5th, 6th intercostal nerve block with a total of 10 ml of 0.25% bupivacaine hydrochloride, who was treated by ephedrine with success. The authors discuss the possible causes of sudden hypotension and severe bradycardia in detail.
