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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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CLINICAL CASES  


Minerva Anestesiologica 1998 June;64(6):303-5

language: English

Unexpected car­diac ­arrest dur­ing epi­du­ral anaesthe­sia

Mascotto G., Casati A., Torri G.

University of Milan, IRCCS H S. Raffaele, Department of Anaesthesiology


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We report­ed the ­case of sud­den asy­stole requir­ing ­close ­chest car­diac mas­sage in a 56-yrs-old ­health man receiv­ing epi­du­ral anaesthe­sia for elec­tive trans­ureth­ral resec­tion of blad­der ­tumour (­TURBT). The anaesthet­ic pro­ce­dure was per­formed in a region­al-­block-­room. Cardiac ­arrest devel­oped few min­utes ­after ­local anaesthet­ic injec­tion, ­before the ­patient has ­been trans­ferred to the oper­at­ing ­room. The impor­tance of ­patient mon­i­tor­ing dur­ing region­al anaesthe­sia ­must be fur­ther on point­ed out, espe­cial­ly ­when the anaesthet­ic pro­ce­dure is per­formed out of the oper­at­ing ­room (e.g. in the recov­ery ­room or in a “region­al-­block-­room”).

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