Asystole During Elective Cervical Spine Surgery: A Case Study.

Autor: Wren KR; is a Certified Registered Nurse Anesthetist and nurse anesthesia emphasis program director at the College of Nursing, University of Wisconsin Oshkosh with a clinical practice at Ascension NE Wisconsin Mercy and St Elizabeth Hospitals in Oshkosh and Neenah, Wisconsin. Email: wrenk@uwosh.edu., Wren TL; is a Registered Nurse and Instructional Academic Staff at the College of Nursing, University of Wisconsin Oshkosh with a clinical practice at Advocate Aurora Oshkosh in Oshkosh, Wisconsin.
Jazyk: angličtina
Zdroj: AANA journal [AANA J] 2022 Feb; Vol. 90 (1), pp. 46-49.
Abstrakt: A 52-year-old, ASA class II patient was scheduled for anterior cervical discectomy and fusion at the C3 - C4 level. During the surgery when the surgeon was placing retractors the patient developed an instant onset of asystole. This case review will discuss potential reasons for asystole during cervical spinal surgery, as well as anatomical considerations when confronted with asystole during surgical dissection and retraction. Many complications resulting from asystole have poor prognosis. This case study will review what was done in a timely manner to recognize and treat this life-threatening event.
Competing Interests: Name: Kathleen R. Wren, PhD, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Timothy L. Wren, DNP, RN Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. The authors have declared no financial relationships with any commercial entity related to the content of this article. The authors did not discuss off-label use within the article.
(Copyright © by the American Association of Nurse Anesthetists.)
Databáze: MEDLINE