A Case of Cardiac Arrest under Spinal Anesthesia Subsequently Diagnosed with Sick Sinus Syndrome

We report a case of cardiac arrest under spinal anesthesia for transurethral resection of bladder tumor. After the anesthetic effect disappeared, cardiac arrest reoccurred and the patient was diagnosed with sick sinus syndrome. On preoperative evaluation, the patient did not show any bradycardia ris...

Full description

Saved in:
Bibliographic Details
Published inTHE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA Vol. 42; no. 1; pp. 32 - 35
Main Authors TERADA, Noriko, YAMANE, Ai, GOTO, Takashi, FUJINAKA, Waso
Format Journal Article
LanguageJapanese
Published THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA 15.01.2022
Subjects
Cardiac arrest
Sick sinus syndrome
Spinal anesthesia
Online AccessGet full text

Cover

More Information
Summary:We report a case of cardiac arrest under spinal anesthesia for transurethral resection of bladder tumor. After the anesthetic effect disappeared, cardiac arrest reoccurred and the patient was diagnosed with sick sinus syndrome. On preoperative evaluation, the patient did not show any bradycardia risk factors for spinal anesthesia and had no history of arrhythmia or syncope, so the risk of bradycardia was thought to be low. However, cardiac sympathetic blockade due to high spinal anesthesia, bradycardia-inducing reflexes such as the Bezold-Jarisch reflex, and the manifestation of sick sinus syndrome combined to cause bradycardia and cardiac arrest. In spinal anesthesia, the possibility of bradycardia and cardiac arrest should always be considered, even in patients with low risk of bradycardia and no abnormalities in their preoperative evaluation.
ISSN:0285-4945
1349-9149
DOI:10.2199/jjsca.42.32