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KMID : 0356920080550060752
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Korean Journal of Anesthesiology
2008 Volume.55 No. 6 p.752 ~ p.755
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Severe bradycardia and transient asystole during epidural anesthesia -A case report-
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Park Soon-Eun
Son Hee-Won
Kim Dae-Young
Kim Dae-Woo
Shin CHul-Ho
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Abstract
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The severe bradycardia and asystole are uncommon complications of epidural anesthesia but can be life threatening if not managed properly. A 73-year-old, ASA class 3, male patient was admitted for a total knee replacement under epidural anesthesia. Approximately 10 minutes after epidural anesthesia, the heart rate decreased significantly to 20 beats/min with asystole. The heart rate returned to 80 beats/min after administering atropine, ephedrine, and external cardiac compression. Severe bradycardia and asystole may be induced by vagal activation as a result of the low venous return and sympathetic blockade.
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KEYWORD
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asystole, bradycardia, epidural anesthesia, vagal activation
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