J Korean Pain Soc.
1998 May;11(1):143-145.
Bezold - Jarisch Reflex during Cervical Epidural Anesthesia
- Affiliations
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- 1Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine, Suwon, Korea.
Abstract
- There are reports on cervical epidural anesthesia for surgery of neck, chest and upper limb. However, there are limited published data on the specific problems with this procedure, including dural puncture, epidural abscess, and vasovagal syncopes. We experienced two cases of vasovagal syncope during cervical epidural anesthesia in the sitting position. These syncopes consisted of sudden hypotention and bradycardia, associated with nausea, dizzness and sweating. The patients were resuscitated successfully and recovered without any adverse effects. Current literature is being reviewed and the possible mechanisms of cardiac arrest under cervical epidural anesthesia in the sitting position are being discussed.
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