TRANSIENT BRADYCARDIA ASSOCIATED WITH EXTRADURAL BLOOD PATCH AFTER INADVERTENT DURAL PUNCTURE IN PARTURIENTS

被引：29

作者：

ANDREWS, PJD ^{[1
]}

ACKERMAN, WE ^{[1
]}

JUNEJA, M ^{[1
]}

CASESCRISTOBAL, V ^{[1
]}

RIGOR, BM ^{[1
]}

机构：

[1] NORTON HOSP,ALLIANT HLTH SYST,LOUISVILLE,KY 40291

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1992年 / 69卷 / 04期

关键词：

ANESTHETIC TECHNIQUES; EXTRADURAL; COMPLICATIONS; HEADACHE;

D O I：

10.1093/bja/69.4.401

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We have studied prospectively 10 ASA I or II postpartum patients after inadvertent dural puncture during labour. An extradural blood patch (autologous blood 15 ml) was performed within 18 h of delivery, with continuous EEG, upper facial EMG (Datex: Anesthesia and Brain Activity Monitor), pulse oximetry and heart rate measurement before, during and for 30 min after extradural injection. Non-invasive arterial pressure measurements (Dinamap) were recorded at 5-min intervals. After extradural blood patch, a statistically significant (Student's t test, P < 0.05) decrease in heart rate, from a mean baseline of 88.6 (SD 7.31) beat min-1 to 51.3 (7.6) beat min-1, occurred within 122.6 (16.9) s from the time of the EBP. Bradycardia was observed for a mean duration of 12.4 (1.1) s. Upper facial EMG, EEG, Sp(O2), and arterial pressure did not change.

引用

页码：401 / 403

页数：3

共 6 条

[1] EFFECTS OF FREE-RADICALS ON THE ELECTROPHYSIOLOGICAL FUNCTION OF CARDIAC MEMBRANES [J].