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[Cardiac arrest and epidural anesthesia].

A Harti1, A Benslama, K M'Jahed

  • 1Service d'anesthésie-réanimation, Centre hospitalier et universitaire Ibn Rochd, Casablanca.

Agressologie: Revue Internationale De Physio-Biologie Et De Pharmacologie Appliquees Aux Effets De L'Agression
|January 1, 1992
PubMed
Summary

A patient with chronic lung disease experienced cardiac arrest after epidural anesthesia with lidocaine. Prompt intensive care led to a favorable outcome, ruling out common toxic or allergic reactions.

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Area of Science:

  • Anesthesiology
  • Cardiology
  • Pulmonology

Background:

  • A 55-year-old male patient with a history of chronic bronchopneumopathy underwent subumbilical surgery.
  • Epidural anesthesia was administered using lidocaine 2% (12 ml) via L3-L4 puncture with catheter placement.

Observation:

  • Ten minutes post-anesthesia administration, the patient experienced cardiac arrest.
  • The patient received immediate cardiocirculatory intensive care.

Findings:

  • The patient's condition improved favorably following intensive care interventions.
  • Blood and cerebrospinal fluid (CSF) analyses were conducted to investigate the cause.
  • Results excluded toxic reactions, anaphylaxis, or unintended spinal anesthesia.

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Implications:

  • This case highlights a rare adverse event following epidural anesthesia in a patient with pre-existing respiratory compromise.
  • It underscores the importance of vigilant monitoring and rapid response protocols in managing unexpected complications during epidural anesthesia.
  • Further investigation into the specific mechanisms leading to cardiac arrest in this context may be warranted.