Vasovagal Syncope and Transient Asystole During Peripheral Nerve Blockade

Vasovagal syncope has been associated with chronic pain procedures, phlebotomy, and musculoskeletal injections. While vasovagal syncope is commonly associated with interventional pain procedures, its occurrence during peripheral nerve block procedures has not been reported. We report a case of vasov...

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Detalles Bibliográficos
Autores principales: DeLeon, Alexander M, Rivera-Monfeli, Joseph, Akbar, Talal A, DeCaria, Bruno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10202159/
https://www.ncbi.nlm.nih.gov/pubmed/37223342
http://dx.doi.org/10.7759/cureus.39337
Descripción
Sumario:Vasovagal syncope has been associated with chronic pain procedures, phlebotomy, and musculoskeletal injections. While vasovagal syncope is commonly associated with interventional pain procedures, its occurrence during peripheral nerve block procedures has not been reported. We report a case of vasovagal syncope leading to transient asystole in a patient undergoing a lower extremity peripheral nerve block procedure. The episode resolved after halting the procedure and administering ephedrine, atropine, and intravenous fluids.

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