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KMID : 0356919940270050503
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Korean Journal of Anesthesiology
1994 Volume.27 No. 5 p.503 ~ p.508
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A Case of Sudden Hypotension Following Intraoperative Intercostal Nerve Block
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Abstract
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Postoperative pain may be associated with shallow breathing, inability to cough, and reduction in spirometric values which lead to restrictive pattern of ventilation with hypoxemia and/or hypercarbia. Therefore, postoperative pain should be
managed
with
appropriate methods. The authors have usually performed intraoperative intercostal nerve block with 0.25% bupivacaine hydrochloride to alleviate postoperative thoracotomy pain.
A 21 years old male patient developed sudden hypotension and severe bradycardia 1 minute following the intraoperative 4th, 5th 6the intercostal nerve block with a total of 10 ml of 0.25% bupivacaine hydrochloride, who was treated by ephedrine
with
success. The authors discuss the possible causes of sudden hypotensios and severe bradycardia in detail.
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KEYWORD
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