Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks
Sudden, profound hypotensive and bradycardic events (HBEs) have been reported in more than 20% of patients undergoing shoulder arthroscopy in the sitting position. Although HBEs may be associated with the adverse effects of interscalene brachial plexus block (ISBPB) in the sitting position, the unde...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Anesthesiologists
2012-03-01
|
| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-62-209.pdf |
| _version_ | 1818879120971399168 |
|---|---|
| author | Seok Young Song Woon Seok Roh |
| author_facet | Seok Young Song Woon Seok Roh |
| author_sort | Seok Young Song |
| collection | DOAJ |
| description | Sudden, profound hypotensive and bradycardic events (HBEs) have been reported in more than 20% of patients undergoing shoulder arthroscopy in the sitting position. Although HBEs may be associated with the adverse effects of interscalene brachial plexus block (ISBPB) in the sitting position, the underlying mechanisms responsible for HBEs during the course of shoulder surgery are not well understood. The basic mechanisms of HBEs may be associated with the underlying mechanisms responsible for vasovagal syncope, carotid sinus hypersensitivity or orthostatic syncope. In this review, we discussed the possible mechanisms of HBEs during shoulder arthroscopic surgery, in the sitting position, under ISBPB. In particular, we focused on the relationship between HBEs and various types of syncopal reactions, the relationship between HBEs and the Bezold-Jarisch reflex, and the new contributing factors for the occurrence of HBEs, such as stellate ganglion block or the intraoperative administration of intravenous fentanyl. |
| first_indexed | 2024-12-19T14:25:02Z |
| format | Article |
| id | doaj.art-d801683ce4a64c25b4c0ae4f4b1c50cc |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-19T14:25:02Z |
| publishDate | 2012-03-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-d801683ce4a64c25b4c0ae4f4b1c50cc2022-12-21T20:17:39ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632012-03-0162320921910.4097/kjae.2012.62.3.2097292Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocksSeok Young Song0Woon Seok Roh1Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea.Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea.Sudden, profound hypotensive and bradycardic events (HBEs) have been reported in more than 20% of patients undergoing shoulder arthroscopy in the sitting position. Although HBEs may be associated with the adverse effects of interscalene brachial plexus block (ISBPB) in the sitting position, the underlying mechanisms responsible for HBEs during the course of shoulder surgery are not well understood. The basic mechanisms of HBEs may be associated with the underlying mechanisms responsible for vasovagal syncope, carotid sinus hypersensitivity or orthostatic syncope. In this review, we discussed the possible mechanisms of HBEs during shoulder arthroscopic surgery, in the sitting position, under ISBPB. In particular, we focused on the relationship between HBEs and various types of syncopal reactions, the relationship between HBEs and the Bezold-Jarisch reflex, and the new contributing factors for the occurrence of HBEs, such as stellate ganglion block or the intraoperative administration of intravenous fentanyl.http://ekja.org/upload/pdf/kjae-62-209.pdfarthroscopybradycardiahypotensionshouldersyncope |
| spellingShingle | Seok Young Song Woon Seok Roh Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks Korean Journal of Anesthesiology arthroscopy bradycardia hypotension shoulder syncope |
| title | Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks |
| title_full | Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks |
| title_fullStr | Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks |
| title_full_unstemmed | Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks |
| title_short | Hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks |
| title_sort | hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene brachial plexus blocks |
| topic | arthroscopy bradycardia hypotension shoulder syncope |
| url | http://ekja.org/upload/pdf/kjae-62-209.pdf |
| work_keys_str_mv | AT seokyoungsong hypotensivebradycardiceventsduringshoulderarthroscopicsurgeryunderinterscalenebrachialplexusblocks AT woonseokroh hypotensivebradycardiceventsduringshoulderarthroscopicsurgeryunderinterscalenebrachialplexusblocks |