Sudden Cardiac Arrest Immediately after Tourniquet Release during Epidural Anesthesia: A case report.
10.4097/kjae.2004.47.6.887
- Author:
Cheol Yong JEON
1
;
Cheol LEE
;
Tai Yo KIM
;
Yoon Kang SONG
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Wonkwang University, Iksan, Korea. ironyii@hanmail.net
- Publication Type:Case Report
- Keywords:
cardiac arrest;
epidural anesthesia;
tourniquet
- MeSH:
Anesthesia, Epidural*;
Atropine;
Blood Pressure;
Death, Sudden, Cardiac*;
Ephedrine;
Heart Arrest;
Heart Rate;
Humans;
Injections, Intravenous;
Male;
Middle Aged;
Oxygen;
Surgical Procedures, Minor;
Tourniquets*
- From:Korean Journal of Anesthesiology
2004;47(6):887-889
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sudden cardiac arrest during epidural anesthesia is a rare but catastrophic complication. It was recently reported that occurs in one per 10,000 epidural anesthesia cases. We report one case of cardiac arrest in a healthy 45-year-old male patient undergoing relatively minor surgery. His preoperative blood pressure was 110-130/70-80 mmHg, heart rate 75-80 beats per minute, and oxygen saturation 98%. Immediately after tourniquet release, cardiac arrest was developed without warning signs. The patient was resuscitated by prompt precordial thump pacing, a fluid bolus, intravenous injection of atropine and ephedrine, and ventilated with oxygen. The procedure was completed and the patient recovered uneventfully.
