Korean J Anesthesiol.  2007 Aug;53(2):259-261. 10.4097/kjae.2007.53.2.259.

Anticholinergic Relieves Bronchospasm Occurring during Spinal Anesthesia in a Asthmatic Patient: A case report

• Choi CH
• Lee HJ

• KMID: 2243388
• DOI: http://doi.org/10.4097/kjae.2007.53.2.259

Abstract

Placement of the endotracheal tube is a potent airway irritant that may trigger bronchospasm in asthmatic patients. But bronchospasm has been reported in association with regional anesthesia, but no clear understanding of the mechanism involved. This case describes acute bronchospasm during spinal anesthesia in lower limb surgery. In this case, bronchospasm was relieved by intravenous injection of glycopyrrolate, not by beta-agonist inhaler. We experienced repeated bronchospasm which was also very effectively treated by intravenous injection of glycopyrrolate.

Keyword

anticholinergics; asthma; bronchospasm; glycopyrrolate; spinal anesthesia

MeSH Terms

Anesthesia, Conduction
Anesthesia, Spinal*
Asthma
Bronchial Spasm*
Cholinergic Antagonists
Glycopyrrolate
Humans
Injections, Intravenous
Lower Extremity
Nebulizers and Vaporizers
Cholinergic Antagonists
Glycopyrrolate