The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Bezold-Jarisch Reflex during Cervical Epidural Anesthesia -Two case reports-

경부 경막외 마취중 발생한 Bezold-Jarisch 반사 -2예 보고-

  • Lee, Kyung-Jin (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine) ;
  • Min, Sang-Kee (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine) ;
  • Han, Sang-Gun (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine) ;
  • Lee, Sung-Jung (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine) ;
  • Kim, Myung-Eun (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine) ;
  • Moon, Bong-Kee (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine) ;
  • Lee, Young-Seok (Pain Clinic, Department of Anesthesiology, Ajou University, Collage of Medicine)
  • 이경진 (아주대학교 의과대학 마취과학교실) ;
  • 민상기 (아주대학교 의과대학 마취과학교실) ;
  • 한상건 (아주대학교 의과대학 마취과학교실) ;
  • 이성중 (아주대학교 의과대학 마취과학교실) ;
  • 김명은 (아주대학교 의과대학 마취과학교실) ;
  • 문봉기 (아주대학교 의과대학 마취과학교실) ;
  • 이영석 (아주대학교 의과대학 마취과학교실)
  • Published : 1998.05.30
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Abstract

There are reports on cervical epidural anesthesia for surgery of neck, chest and upper limb. However, there are limited published data on the specific problems with this procedure, including dural puncture, epidural abscess, and vasovagal syncopes. We experienced two cases of vasovagal syncope during cervical epidural anesthesia in the sitting position. These syncopes consisted of sudden hypotention and bradycardia, associated with nausea, dizzness and sweating. The patients were resuscitated successfully and recovered without any adverse effects. Current literature is being reviewed and the possible mechanisms of cardiac arrest under cervical epidural anesthesia in the sitting position are being discussed.

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