CASE REPORT
Year : 2009  |  Volume : 3  |  Issue : 1  |  Page : 35-38

Reflex bradycardia and asystole during anaesthesia


St Michael's Hospital, Southwell Street, Bristol, BS2 8EG, United Kingdom

Correspondence Address:
Stephen Michael Kinsella
St Michael's Hospital, Southwell Street, Bristol, BS2 8EG
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.51833

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Neurogenically mediated bradycardia that may result in cardiac arrest is a rare but well-recognised complication during anaesthesia. Three cases are described that illustrate certain features. In the first, hidden haemorrhage during laparoscopy under general anaesthesia was revealed during reinsufflation of gas into the peritoneum at the end of the operation. The second case developed asystole when positioned supine with tilt after spinal anaesthesia for caesarean section. This occurred on two occasions separated by ten years. In the third case, asystole developed 95 minutes after a spinal when the patients legs were lowered down from the lithotomy position. All patients were resuscitated with drug treatment and, in the first case, intravenous fluids.


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