| A Case of Asystolic Cardiac Arrest in the Sitting Position for Shoulder Arthroscopy using an Interscalene Block: A case report. |
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Chan Hong Park, Hong Tae Kwon, Woon Seok Roh |
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Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. usno@cu.ac.kr |
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| Abstract |
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An interscalene block for shoulder surgery provides excellent surgical conditions and is well received by patients. However, a combination of the sitting position, regional anesthesia, an awake patient, and a surgical procedure can result in another side effect, vasovagal episodes, which may lead to cardiac arrest in extreme cases.
We experienced a case of 32-year-old male patient with a severe vasovagal episode that led to asystolic cardiac arrest 15 minutes after the changing to the sitting position under an interscalene block for shoulder arthroscopic surgery. |
| Key Words:
cardiac arrest; complications; interscalene block; vasovagal syncope |
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