Severe maternal bradycardia and asystole after combined spinal-epidural labor analgesia in a morbidly obese parturient

Journal of Clinical Anesthesia

Volumn 16, Issue 6, 2004, Pages 461-464

  Pan, Peter H ^a   Moore, Charles H ^b   Ross, Vernon H ^a  

^a WAKE FOREST SCHOOL OF MEDICINE   (United States)

^b VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Analgesia; anesthesia; asystole; bradycardia; combined spinal epidural; obstetrical; obstetrics

Indexed keywords

OXYTOCIN; RINGER LACTATE SOLUTION;

ADULT; ARTICLE; ASYSTOLE; CASE REPORT; CLINICAL FEATURE; DIAGNOSTIC IMAGING; DISEASE COURSE; ELECTROCARDIOGRAPHY MONITORING; EPIDURAL ANESTHESIA; FEMALE; HUMAN; INTENSIVE CARE UNIT; LABOR INDUCTION; MEDICAL EXAMINATION; MORBID OBESITY; OBSTETRIC ANALGESIA; PATIENT MONITORING; PATIENT TRANSPORT; PREMATURE FETUS MEMBRANE RUPTURE; PRIORITY JOURNAL; RESUSCITATION; SINUS BRADYCARDIA; SPINAL ANESTHESIA; VAGINAL DELIVERY;

ADULT; ANALGESIA, EPIDURAL; ANALGESIA, OBSTETRICAL; ANESTHESIA, SPINAL; BRADYCARDIA; FEMALE; HEART ARREST; HUMANS; LABOR PAIN; LABOR, OBSTETRIC; OBESITY; OBSTETRIC LABOR COMPLICATIONS; PREGNANCY;

EID: 9644287880     PISSN: 09528180     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jclinane.2003.10.006     Document Type: Article

References (26)

1. Caplan R.A., Ward R.J., Posner K., Cheney F.W. Unexpected cardiac arrest during spinal anesthesia a closed claims analysis of predisposing factors. Anesthesiology. 68:1988;5-11
2. Liguori G.A., Sharrock N.E. Asystole and severe bradycardia during epidural anesthesia in orthopedic patients. Anesthesiology. 86:1997;250-257
3. Lovstad R.Z., Granhus G., Hetland S. Bradycardia and asystolic cardiac arrest during spinal anaesthesia a report of five cases. Acta Anaesthesiol Scand. 44:2000;48-52
4. Mackey D.C., Carpenter R.L., Thompson G.E., Brown D.L., Bodily M.N. Bradycardia and asystole during spinal anesthesia a report of three cases without morbidity. Anesthesiology. 70:1989;866-868
5. Hays R.L., Palmer C.M. Respiratory depression after intrathecal sufentanil during labor. Anesthesiology. 81:1994;511-512
6. Greenhalgh C.A. Respiratory arrest in a parturient following intrathecal injection of sufentanil and bupivacaine. Anaesthesia. 51:1996;173-175
7. Lu J.K., Manullang T.R., Staples M.H., Kem S.E., Balley P.L. Maternal respiratory arrests, severe hypotension, and fetal distress after administration of intrathecal, sufentanil, and bupivacaine after intravenous fentanyl. Anesthesiology. 87:1997;170-172
8. Fragneto R.Y., Fisher A. Mental status changes and aphasia after labor analgesia with intrathecal sufentanil/bupivacaine. Anesth Analg. 90:2000;1175-1176
9. Carpenter R.L., Caplan R.A., Brown D.L., Stephenson C., Wu R. Incidence and risk factors for side effects of spinal anesthesia. Anesthesiology. 76:1992;906-916
10. Liu S., Paul G.E., Carpenter R.L., Stephenson C., Wu R. Prolonged PR interval is a risk factor for bradycardia during spinal anesthesia. Reg Anesth. 20:1995;41-44
11. Pollard J.B. Common mechanisms and strategies for prevention and treatment of cardiac arrest during epidural anesthesia. J Clin Anesth. 14:2002;52-56
12. Pollard J.B. Cardiac arrest during spinal anesthesia common mechanisms and strategies for prevention. Anesth Analg. 92:2001;252-256
13. Hawkins J.L., Koonin L.M., Palmer S.K., Gibbs C.P. Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology. 86:1997;277-284
14. Curatolo M., Scaramozzino P., Venuti F.S., Orlando A., Zbinden A.M. Factors associated with hypotension and bradycardia after epidural blockade. Anesth Analg. 83:1996;1033-1040
15. Camann W.R., Denney R.A., Holby E.D., Datta S. A comparison of intrathecal, epidural and intravenous sufentanil for labor analgesia. Anesthesiology. 77:1992;884-887
16. Honet J.E., Arkoosh V.A., Norris M.C., Huffnagle H.J., Silverman N.S., Leighton B.L. Comparison among intrathecal fentanyl, meperidine, and sufentanil for labor analgesia. Anesth Analg. 75:1992;734-739
17. Herman N.L., Calicott R., Van Decar T.K., Conlin G., Tilton J. Determination of the dose-response relationship for intrathecal sufentanil in laboring patients. Anesth Analg. 84:1997;1256-1261
18. Nelson K.E., D'Angelo R., Foss M.L., Meister G.C., Hood D.D., Eisenach J.C. Intrathecal neostigmine and sufentanil for early labor analgesia. Anesthesiology. 91:1999;1293-1298
19. Arkoosh V.A., Cooper M., Norris M.C., et al. Intrathecal sufentanil dose response in nulliparous patients. Anesthesiology. 89:1998;364-370
20. Norris M.C., Fogel S.T., Holtmann B. Intrathecal sufentanil (5 vs. 10 microg) for labor analgesia efficacy and side effects. Reg Anesth Pain Med. 23:1998;252-257
21. Choi D.H., Park N.K., Cho H.S., Hahm T.S., Chung I.S. Effects of epidural injection on spinal block during combined spinal and epidural anesthesia for cesarean delivery. Reg Anesth Pain Med. 25:2000;591-595
22. Mojica J.L., Melendez H.J., Bautista L.E. The timing of intravenous crystalloid administration and incidence of cardiovascular side effects during spinal anesthesia the results from a randomized controlled trial. Anesth Analg. 94:2002;432-437
23. Ewaldsson C.A., Hahn R.G. Volume kinetics of Ringer's solution during induction of spinal and general anesthesia. Br J Anaesth. 87:2001;406-414
24. Goodarzi M., Narasimhan R.R. The effect of large-dose intrathecal opioids on the autonomic nervous system. Anesth Analg. 93:2001;456-459
25. Kinsella S.M., Tuckey J.P. Perioperative bradycardia and asystole relationship to vasovagal syncope and the Bezold-Jarisch reflex. Br J Anaesth. 86:2001;859-868
26. Baron J., Decaux-Jacolot A., Edouard A., Berdeaux A., Samii K. Influence of venous return on baroreflex control of heart rate during lumbar epidural anesthesia in humans. Anesthesiology. 64:1986;188-193