Severe bradycardia and hypotension during epidural anesthesia in a patient undergoing hemorrhoidectomy
Fukuda, H.; Miyashita, K.; Ishii, R.; Motegi, R.; Saitou, K.; Hirabayashi, Y.; Shimizu, R.
Masui. Japanese Journal of Anesthesiology 44(1): 100-102
1995
ISSN/ISBN: 0021-4892 PMID: 7699809 Document Number: 444579
Severe bradycardia and hypotension developed suddenly in two patients undergoing hemorrhoidectomy under lumbar epidural anesthesia in the jackknife position, about 5 to 10 min after epidural administration of buprenorphine. Severe vago-vagal reflex was supposed to have been induced with buprenorphine in a situation where venous return was decreased by epidural anesthesia and the jackknife position.
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