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Paper Information

Journal:   PARS JOURNAL OF MEDICAL SCIENCES (JAHROM MEDICAL JOURNAL)   FALL 2015 , Volume 13 , Number 3; Page(s) 15 To 19.
 
Paper: 

CASE REPORT: SEVERE BRADYCARDIA FOLLOWING SPINAL ANESTHESIA

 
 
Author(s):  KALANI N., HAKIMOALLHI H., GHOBADIFAR M.A., SISTANI M.R., SANIE JAHROMI M.S.*
 
* MEDICAL ETHICS RESEARCH CENTER, JAHROM UNIVERSITY OF MEDICAL SCIENCES, JAHROM, IRAN
 
Abstract: 

Introduction: The prevalence of severe and life-threatening bradycardia following spinal anesthesia, mostly associated with high spinal block, is about 2.5 percent. Numbness levels higher than T4 are considered a risk factor for occurrence of severe bradycardia and even cardiac arrest.
This study presents an 81-year-old male patient presenting to Peymanieh Hospital in Jahrom to undergo a surgery for inguinal hernia and hydrocele. Until 13 minutes after spinal blocking, all vital signs were normal, but without symptoms of high spinal blocking, the patient's heart rate suddenly dropped to about 45 bpm, and a little later to 22 bpm. Fortunately, heart rate returned to normal with injection of atropine and ephedrine.
Conclusion: The incidence of severe and life-threatening bradycardia is not necessarily associated with high spinal blocking and can occur even in the presence of normal spinal block. This fact highlights the importance of careful and real-time patient monitoring.

 
Keyword(s): SPINAL ANESTHESIA, BRADYCARDIA, INGUINAL HERNIA, HYDROCELE
 
References: 
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