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脊髓麻醉下意外心脏骤停:一个不可避免的谜团及当前文献综述

Unanticipated cardiac arrest under spinal anesthesia: An unavoidable mystery with review of current literature.

作者信息

Kumari Anita, Gupta Ruchi, Bajwa Sukhminder Jit Singh, Singh Amrinder

机构信息

Department of Anaesthesiology and Intensive Care, Sri Guru Ram Das Institute of Medical sciences, Vallah, Amritsar, India.

Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.

出版信息

Anesth Essays Res. 2014 Jan-Apr;8(1):99-102. doi: 10.4103/0259-1162.128923.

Abstract

Cardiac arrest during anesthesia and perioperative period is a matter of grave concern for any anesthesiologist. But such mishaps have been reported for one reason or the other in the literary sciences. We are reporting the occurrence of unanticipated delayed cardiac arrest following spinal anesthesia in two young and healthy patients. Fortunately, these patients were successfully resuscitated with timely and appropriate cardiopulmonary resuscitative measures. Occurrence of such cases needs timely reporting and exploring all the possible causes of these unusual and possibly avoidable events. The present case reports are an important addition to a series of recently published mishaps that occurred during spinal anesthesia in young and healthy patients.

摘要

麻醉及围手术期心脏骤停是任何麻醉医生都极为关注的问题。但在文献中,此类不幸事件因各种原因屡有报道。我们报告了两例年轻健康患者在脊麻后发生意外延迟性心脏骤停的情况。幸运的是,通过及时且恰当的心肺复苏措施,这些患者成功复苏。此类病例的发生需要及时报告,并探究这些不寻常且可能可避免事件的所有可能原因。本病例报告是近期发表的一系列年轻健康患者脊麻期间发生的不幸事件中的重要补充。

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Sinus bradycardia and asystole during spinal and epidural anesthesia: a report of 13 cases.
J Clin Anesth. 1998 Jun;10(4):278-85. doi: 10.1016/s0952-8180(98)00028-2.

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