Carotid sinus hypersensitivity due to shoulder sling pressure after arthroscopic rotator cuff repair: a case report

Canbora, Mehmet Kerem; Polat, Atilla; Subaşı, Ferhunde Dilek; Ülkü, Tekin Kerem

doi:10.3944/aott.2012.2706

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…In severe cases, it can progress to syncope or cardiac arrest. Canbora et al [ 14 ] reported carotid sinus hypersensitivity due to arm sling use in a 56-year-old female PACU patient who had undergone shoulder surgery. Both patients in our cases were wearing arm slings while sedated, so the weight of the anesthetized arm may have directly compressed the carotid sinus.…”

Section: Discussionmentioning

confidence: 99%

Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases -

et al. 2022

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Background: Local anesthetics systemic toxicity (LAST) is a grave complication of regional anesthesia that usually occurs immediately after local anesthetics injection. Here, we report on rare late-onset toxicity cases after supraclavicular brachial plexus blocks.Case: Two patients underwent surgery for radius fractures. We used lidocaine 100 mg and ropivacaine 150 mg for blocking and infused dexmedetomidine for intraoperative sedation. The 63-year-old male patient’s blood pressure dropped to 87/60 mmHg after 3 h 15 min after blocking. Ventricular fibrillation occurred 10 min later. After five defibrillations, electrocardiography showed ventricular tachycardia that was normalized through one cardioversion. The 54-year-old female patient’s heart rate decreased to 35 beats/min 2 h 30 min after blocking. Her vital signs returned to normal after administering atropine, ephedrine, epinephrine, and lipid emulsion.Conclusions: Physicians should remember that LAST may occur long after local anesthetic injection and be aware of factors that may adversely affect the course of LAST.

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Section: Discussionmentioning

confidence: 99%

Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases -

et al. 2022

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Cardiovascular effects of abduction shoulder sling in elderly patients; is it really safe?

Canbora

Köse

Gürkan

et al. 2013

Arch Orthop Trauma Surg

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Carotid Sinus Syndrome

Amin

Pavri²

2015

Cardiology in Review

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Carotid sinus hypersensitivity, first described less than 65 years ago, is an important and often undiagnosed cause of syncope in the elderly. Its pathophysiology is complex and certain aspects are not completely understood. The timely diagnosis and treatment of this condition can improve morbidity and prevent complications in the elderly. In this article, the prevalence, risk factors, pathophysiology, diagnosis, aspects of carotid sinus massage, and treatment options for the different kinds of carotid sinus hypersensitivity are discussed.

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Carotid sinus hypersensitivity due to shoulder sling pressure after arthroscopic rotator cuff repair: a case report

Cited by 3 publications

References 17 publications

Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases -

Two cases of late-onset cardiovascular toxicities after a single injection of local anesthetics during supraclavicular brachial plexus block - A report of two cases -

Cardiovascular effects of abduction shoulder sling in elderly patients; is it really safe?

Carotid Sinus Syndrome

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