| Sudden Cardiac Arrest Immediately after Tourniquet Release during Epidural Anesthesia: A case report. |
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Cheol Yong Jeon, Cheol Lee, Tai Yo Kim, Yoon Kang Song |
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Department of Anesthesiology and Pain Medicine, School of Medicine, Wonkwang University, Iksan, Korea. ironyii@hanmail.net |
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| Abstract |
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Sudden cardiac arrest during epidural anesthesia is a rare but catastrophic complication. It was recently reported that occurs in one per 10,000 epidural anesthesia cases. We report one case of cardiac arrest in a healthy 45-year-old male patient undergoing relatively minor surgery. His preoperative blood pressure was 110-130/70-80 mmHg, heart rate 75-80 beats per minute, and oxygen saturation 98%.
Immediately after tourniquet release, cardiac arrest was developed without warning signs. The patient was resuscitated by prompt precordial thump pacing, a fluid bolus, intravenous injection of atropine and ephedrine, and ventilated with oxygen. The procedure was completed and the patient recovered uneventfully. |
| Key Words:
cardiac arrest; epidural anesthesia; tourniquet |
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