Venoarterial Extracorporeal Membrane Oxygenation as an Effective Therapeutic Support for Refractory Cardiac Arrest in the Setting of Spinal Anesthesia: A Case Report and Literature Review

Qin, Chaosheng; Jiang, Yihong; Liu, Jingchen; Pang, Hongxuan

doi:10.2147/ijgm.s285939

Cited by 3 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A high spinal block on cardio accelerator fibers at T1-T4 can cause bradycardia and cardiac arrest (20)…”

Section: Local Anesthetics For Spinal Analgesiamentioning

confidence: 99%

Regional Anesthesia Subarachnoid Blockade (RASAB) in Scoliosis Patients

Setijanto

Putra²

2023

IJAR

View full text Add to dashboard Cite

Introduction: Scoliosis is a three-dimensional spinal deformity that is mainly determined based on the lateral curvature of the spine. Furthermore, regional anesthesia often infiltrates the peripheral nerves with an anesthetic agent and blocks transmission to avoid or relieve pain. A previous study revealed that scoliosis in patients is one of the factors affecting the success of spinal anesthesia. Objective: To obtain a theoretical basis that can support the solution to the RASAB problem. The acceptance of the theory is the first step to providing a better understanding of the study problem based on the scientific framework of thinking. Furthermore, the similarities, differences, and views of several pieces of literature that discussed related issues were evaluated in this review. Review: Regional anesthesia subarachnoid blockade (RASAB) or spinal anesthesia, is a procedure, which involves the administration of local anesthetic drugs into the subarachnoid space. Furthermore, the process is carried out between the lumbar (L) vertebrae L2-L3, L3-L4, or L4-L5. Spinal anesthesia is often used in surgical procedures involving the lower abdomen, pelvis, perineum, and lower extremities. Summary: In the setting of scoliosis, spinal anesthesia is challenging, but is not an absolute contraindication. Patients with scoliosis have unique characteristics, hence, anesthetists need to understand the impact of the disease on the body.

show abstract

“…A high spinal block on cardio accelerator fibers at T1-T4 can cause bradycardia and cardiac arrest (20)…”

Section: Local Anesthetics For Spinal Analgesiamentioning

confidence: 99%

Regional Anesthesia Subarachnoid Blockade (RASAB) in Scoliosis Patients

Setijanto

Putra²

2023

IJAR

View full text Add to dashboard Cite

show abstract

“…12 lead ECG, Troponin test, S. tryptase and 2D Echo would be helpful to diagnose myocardial infarction, anaphylaxis, embolism and hypovolemia. Veno-arterial ECMO may be helpful during this period [79].…”

Section: Treatment Of Bradycardia and Hypotensionmentioning

confidence: 99%

Cardiac Arrest Following Central Neuraxial Block

Kulkarni¹,

Futane²

2023

Updates in Anesthesia - The Operating Room and Beyond

View full text Add to dashboard Cite

Central neuraxial blocks (CNB) are used worldwide in anesthesia practice. They are safe, however, not devoid of untoward complications. Cardiac arrest (CA) is one of the major devastating complications. The anesthesiologists are concerned about CA as it can occur unexpectedly and suddenly even in a young ASA grade I patient, undergoing elective surgery, at any time during and after administration of CNB in spite of continuous vigilance. A better understanding of the physiology of CNB, availability of monitoring devices, and safer local anesthetic drugs contribute to reduced mortality, yet cases of CA are reported even recently. These case reports provide information relevant to particular incidents and may be inadequate to provide comprehensive information to explain the overall clinically important aspects related to CA following CNB. This chapter would provide a summary and analysis of the current recommendations about etiology, predisposing factors, preventive measures, and various measures tried for the treatment of cardiac arrest, although the exact etiology and predisposing factors are still not known. The comprehensive information would be helpful for anesthesiologists during day-to-day practice and to increase the safety of patients undergoing CNB. Proper patient selection, pre-/co-loading of fluids, the modifying technique of CNB as per patient’s need, early use of epinephrine during bradycardia refractory to atropine, continuous monitoring, vigilance during intra- and postoperative period would help in prevention, early detection, and prompt treatment of CA. Challenges faced by anesthesiologists during CNB practice and newer modalities used for the treatment of refractory CA are also discussed. The mystery of sudden unexpected CA is yet to be solved and research in this direction is warranted. Electronic medical record keeping and reporting untoward incidence to the national board will also help to improve patient safety in the future.

show abstract

Ropivacaine/unspecified spinal anaesthetic

2021

Reactions Weekly

View full text Add to dashboard Cite

Venoarterial Extracorporeal Membrane Oxygenation as an Effective Therapeutic Support for Refractory Cardiac Arrest in the Setting of Spinal Anesthesia: A Case Report and Literature Review

Cited by 3 publications

References 15 publications

Regional Anesthesia Subarachnoid Blockade (RASAB) in Scoliosis Patients

Regional Anesthesia Subarachnoid Blockade (RASAB) in Scoliosis Patients

Cardiac Arrest Following Central Neuraxial Block

Ropivacaine/unspecified spinal anaesthetic

Contact Info

Product

Resources

About