The Korean Journal of Pain
- Volume 10 Issue 2
- /
- Pages.166-169
- /
- 1997
- /
- 2005-9159(pISSN)
- /
- 2093-0569(eISSN)
Bezold-Jarish Reflex during Shoulder Arthroscopy (in the Sitting Position) under Interscalene Block
사각근간 차단을 이용한 어깨 관절경수술에서 좌위에 따른 Bezold-parish 반사
- Lee, Doo-Ik (Department of Anesthesiology, College of Medicine, Kyung Hee University) ;
- Won, Shi-Gwon (Department of Anesthesiology, College of Medicine, Kyung Hee University) ;
- Kim, Dong-Woo (Department of Anesthesiology, College of Medicine, Kyung Hee University) ;
- Kim, Dong-Ok (Department of Anesthesiology, College of Medicine, Kyung Hee University) ;
- Choi, Young-Kyoo (Department of Anesthesiology, College of Medicine, Kyung Hee University) ;
- Shin, Kwang-Il (Department of Anesthesiology, College of Medicine, Kyung Hee University)
- 이두익 (경희대학교 의과대학 마취과학교실) ;
- 원시권 (경희대학교 의과대학 마취과학교실) ;
- 김동우 (경희대학교 의과대학 마취과학교실) ;
- 김동옥 (경희대학교 의과대학 마취과학교실) ;
- 최영규 (경희대학교 의과대학 마취과학교실) ;
- 신광일 (경희대학교 의과대학 마취과학교실)
- Published : 1997.11.22
Abstract
Background: We have noted a high incidence of vasovagal episodes associated with use of interscalene block(ISB) for shoulder arthroscopy in the sitting position. The purpose of this retrospective study is to alert the possibility of potentially dangerous vasovagal events, describe the characteristics of this problem, and propose therapeutic devices. Methods: Results 62 patients who underwent shoulder arthroscopy in the sitting position with ISB were retrospectively analyzed. Group 1, 10 patients experienced vasovagal events characterized by sudden hypotension and bradycardia. Remaining 52 patients, Group 2, did not experience these symptoms. All patient charts were reviewed for age, sex, side of surgery, premedication, preoperative fluid and intraoperative medications. Perioperative hemodynamic changes were also compared between the two groups. Results: Vasovagal events experienced in 16% of patients(10/62) and occurred
Keywords
- Anesthetic techniques: interscalene block;
- Complications: Bezold-Jarish reflex;
- Position: sitting;
- Surgery: shoulder arthroscopy