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A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-

The occurrence of severe hypotension and bradycardia, following placing to the beach chair position from supine during general anesthesia for repair of tendon injury of the rotator cuff of shoulder in a healthy 50 year-old man was described. The Bezold-Jarisch reflex, which is known to inhibit cardi...

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Autores principales: So, Jihyun, Shin, Woo-Jong, Shim, Jae-Hang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3611079/
https://www.ncbi.nlm.nih.gov/pubmed/23560195
http://dx.doi.org/10.4097/kjae.2013.64.3.265
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author So, Jihyun
Shin, Woo-Jong
Shim, Jae-Hang
author_facet So, Jihyun
Shin, Woo-Jong
Shim, Jae-Hang
author_sort So, Jihyun
collection PubMed
description The occurrence of severe hypotension and bradycardia, following placing to the beach chair position from supine during general anesthesia for repair of tendon injury of the rotator cuff of shoulder in a healthy 50 year-old man was described. The Bezold-Jarisch reflex, which is known to inhibit cardiovascular reflex and composed of three kinds of symptoms such as vasodilation, bradycardia and hypotension, has been reported mainly in peripheral nerve block, and may occur during orthostasis, hypovolemia, hemorrhage, supine inferior vena cava compression in pregnancy, interscalene block for shoulder surgery in the sitting position and so on. The bradycardia and hypotension can be more aggravated when causative elements overlaps each other. Anticholinergics and vasopressor were injected intravenously, and position of the patient was changed to the supine position immediately resulting in a normal vital signs dramatically.
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spelling pubmed-36110792013-04-04 A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report- So, Jihyun Shin, Woo-Jong Shim, Jae-Hang Korean J Anesthesiol Case Report The occurrence of severe hypotension and bradycardia, following placing to the beach chair position from supine during general anesthesia for repair of tendon injury of the rotator cuff of shoulder in a healthy 50 year-old man was described. The Bezold-Jarisch reflex, which is known to inhibit cardiovascular reflex and composed of three kinds of symptoms such as vasodilation, bradycardia and hypotension, has been reported mainly in peripheral nerve block, and may occur during orthostasis, hypovolemia, hemorrhage, supine inferior vena cava compression in pregnancy, interscalene block for shoulder surgery in the sitting position and so on. The bradycardia and hypotension can be more aggravated when causative elements overlaps each other. Anticholinergics and vasopressor were injected intravenously, and position of the patient was changed to the supine position immediately resulting in a normal vital signs dramatically. The Korean Society of Anesthesiologists 2013-03 2013-03-19 /pmc/articles/PMC3611079/ /pubmed/23560195 http://dx.doi.org/10.4097/kjae.2013.64.3.265 Text en Copyright © the Korean Society of Anesthesiologists, 2013 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
So, Jihyun
Shin, Woo-Jong
Shim, Jae-Hang
A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-
title A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-
title_full A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-
title_fullStr A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-
title_full_unstemmed A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-
title_short A cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -A case report-
title_sort cardiovascular collapse occurred in the beach chair position for shoulder arthroscopy under general anesthesia -a case report-
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3611079/
https://www.ncbi.nlm.nih.gov/pubmed/23560195
http://dx.doi.org/10.4097/kjae.2013.64.3.265
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