Neurally Mediated Syncope During Cesarean Delivery: A Case Report
| Autor: | Ken Yamaura, Seiko Sato, Erisa Nakamori, Kenji Shigematsu, Go Kusumoto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Bradycardia
Adult medicine.medical_treatment Neurally-mediated syncope Anesthesia Spinal Preeclampsia 03 medical and health sciences Nitroglycerin 0302 clinical medicine Pre-Eclampsia 030202 anesthesiology Pregnancy Risk Factors Hypovolemia medicine Pressure Syncope Vasovagal Anesthesia Obstetrical Humans Cardiopulmonary resuscitation Cesarean delivery Intraoperative Complications reproductive and urinary physiology business.industry Cesarean Section General Medicine medicine.disease Cardiopulmonary Resuscitation Heart Arrest Anesthesia cardiovascular system Gestation Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | AA case reports. 8(5) |
| ISSN: | 2325-7237 |
| Popis: | A 28-year-old woman with preeclampsia at 32 weeks of gestation underwent a cesarean delivery under spinal anesthesia. Administration of nitroglycerin at 200 μg to relax uterine smooth muscles and the application of fundal pressure led to severe bradycardia and loss of consciousness, followed by cardiac arrest. Delivery was completed immediately and recovery was achieved 10 seconds later following cardiopulmonary resuscitation. Neurally mediated syncope was considered the cause of cardiac arrest. Anesthetists should be aware of the potential risk during cesarean delivery following the administration of nitroglycerin, fundal pressure, regional anesthesia, and hypovolemia because of preeclampsia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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