Key result
A 38-year-old healthy woman experienced sudden cardiac arrest during spinal anaesthesia for a vaginal hysterectomy and was successfully resuscitated with prompt intubation, atropine, and CPR.
Case Report (n=1)
No
Sudden cardiac arrest during spinal anesthesia is a serious complication often related to decreased preload, requiring vigilant monitoring and prompt resuscitation.
Highlights the severe risk of vagal-mediated cardiac arrest during spinal anesthesia without adequate preload; leaves.
Spinal anesthesia is an important and commonly practiced anesthetic technique by the anaesthesiologists worldwide. Though being considered a safe technique, it is not devoid of fatal complications and cardiopulmonary arrest (cardiac arrest) being the most serious among all. Cardiac arrest during spinal anaesthesia is a multi-factorial outcome, but vagal response to decreased preload often plays a key role. Common practice of preloading with IV fluid is suggested to not to be omitted before initiating spinal anaesthesia. If the situation warrants emergent, stepwise escalated resuscitative measures for treatment of bradycardia need to be instituted. A close supervision of the patients clinical parameter during spinal anaesthesia is a mandatory requirement to avert any untoward complication in such patients. In case of severe bradycardia or cardiac arrest, full resuscitative measures need to be promptly instituted.
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A 2018 study conducted a case report in Sudden cardiac arrest during spinal anaesthesia (n=1). Spinal anaesthesia was evaluated on Cardiac arrest and resuscitation. A 38-year-old healthy woman experienced sudden cardiac arrest during spinal anaesthesia for a vaginal hysterectomy and was successfully resuscitated with prompt intubation, atropine, and CPR.
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