Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia
Cardiac arrest associated with spinal anaesthesia has been well researched. Myocardial stunning after successful resuscitation from cardiac arrest is seen in up to 2/3 rd of in-hospital cardiac arrests. Myocardial stunning after resuscitation from cardiac arrest associated with spinal anaesthesia ha...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=2;spage=196;epage=198;aulast=Kurhekar |
| _version_ | 1819268288238059520 |
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| author | Pranjali Madhav Kurhekar VSG Yachendra Simi P Babu Raghavelu Govindasamy |
| author_facet | Pranjali Madhav Kurhekar VSG Yachendra Simi P Babu Raghavelu Govindasamy |
| author_sort | Pranjali Madhav Kurhekar |
| collection | DOAJ |
| description | Cardiac arrest associated with spinal anaesthesia has been well researched. Myocardial stunning after successful resuscitation from cardiac arrest is seen in up to 2/3 rd of in-hospital cardiac arrests. Myocardial stunning after resuscitation from cardiac arrest associated with spinal anaesthesia has probably not been reported earlier. Our case, an ASA physical status I lady, posted for tubal reanastomosis surgery developed bradycardia followed by asystole, approximately 5 minutes after giving subarachnoid block. Return of spontaneous circulation (ROSC) was achieved within 2 minutes with cardiopulmonary resuscitation (CPR) and defibrillation for pulseless ventricular tachycardia. Patient developed delayed pulmonary oedema, which was probably due to myocardial stunning. In the present case, inadequate preloading could have precipitated bradycardia progressing to cardiac arrest which, after resuscitation led to reversible myocardial dysfunction. We conclude that early vasopressor infusion, titrated fluids and echocardiography should be considered in immediate post cardiac arrest phase following spinal anaesthesia. |
| first_indexed | 2024-12-23T21:30:41Z |
| format | Article |
| id | doaj.art-8155ebf6736c46a5b94d4acdbd114ece |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-23T21:30:41Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-8155ebf6736c46a5b94d4acdbd114ece2022-12-21T17:30:28ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492014-01-0158219619810.4103/0019-5049.130828Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesiaPranjali Madhav KurhekarVSG YachendraSimi P BabuRaghavelu GovindasamyCardiac arrest associated with spinal anaesthesia has been well researched. Myocardial stunning after successful resuscitation from cardiac arrest is seen in up to 2/3 rd of in-hospital cardiac arrests. Myocardial stunning after resuscitation from cardiac arrest associated with spinal anaesthesia has probably not been reported earlier. Our case, an ASA physical status I lady, posted for tubal reanastomosis surgery developed bradycardia followed by asystole, approximately 5 minutes after giving subarachnoid block. Return of spontaneous circulation (ROSC) was achieved within 2 minutes with cardiopulmonary resuscitation (CPR) and defibrillation for pulseless ventricular tachycardia. Patient developed delayed pulmonary oedema, which was probably due to myocardial stunning. In the present case, inadequate preloading could have precipitated bradycardia progressing to cardiac arrest which, after resuscitation led to reversible myocardial dysfunction. We conclude that early vasopressor infusion, titrated fluids and echocardiography should be considered in immediate post cardiac arrest phase following spinal anaesthesia.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=2;spage=196;epage=198;aulast=KurhekarCardiopulmonary resuscitationmyocardial stunningspinal anaesthesia |
| spellingShingle | Pranjali Madhav Kurhekar VSG Yachendra Simi P Babu Raghavelu Govindasamy Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia Indian Journal of Anaesthesia Cardiopulmonary resuscitation myocardial stunning spinal anaesthesia |
| title | Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia |
| title_full | Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia |
| title_fullStr | Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia |
| title_full_unstemmed | Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia |
| title_short | Myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia |
| title_sort | myocardial stunning after resuscitation from cardiac arrest following spinal anaesthesia |
| topic | Cardiopulmonary resuscitation myocardial stunning spinal anaesthesia |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=2;spage=196;epage=198;aulast=Kurhekar |
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