Korean J Anesthesiol.
2008 Dec;55(6):752-755. 10.4097/kjae.2008.55.6.752.
Severe bradycardia and transient asystole during epidural anesthesia: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea. kdyangel@naver.com
- KMID: 1782555
- DOI: http://doi.org/10.4097/kjae.2008.55.6.752
Abstract
- The severe bradycardia and asystole are uncommon complications of epidural anesthesia but can be life threatening if not managed properly. A 73-year-old, ASA class 3, male patient was admitted for a total knee replacement under epidural anesthesia. Approximately 10 minutes after epidural anesthesia, the heart rate decreased significantly to 20 beats/min with asystole. The heart rate returned to 80 beats/min after administering atropine, ephedrine, and external cardiac compression. Severe bradycardia and asystole may be induced by vagal activation as a result of the low venous return and sympathetic blockade.
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