Open AccessCardiac arrest despite optimal preloading of patient using ultrasonography-guided inferior vena cava indices under subarachnoid neuraxial blockade: A report of two cases
Author(s) -
Vidhu Bhatnagar,
Deepak Dwivedi,
Shatabdi Chakraborty,
Arijit Ray
Publication year - 2018
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/sja.sja_751_17
Subject(s) - medicine , preload , neuraxial blockade , anesthesia , blockade , ultrasonography , inferior vena cava , etiology , neurological deficit , surgery , spinal anesthesia , hemodynamics , receptor
Spinal anesthesia (SA) is utilized as an effective means of anesthesia and has an impressive safety record but it is not devoid of complications, and sometimes, the complications are as fatal as cardiac arrest. Although many factors are involved in etiology of cardiac arrest under SA, the vagal responses to the decreased preload are the most common culprits. We report two cases of cardiac arrest under SA; which happened despite our patient being adequately preloaded utilizing the ultrasonography-guided targeted volume therapy. The patients were successfully resuscitated with no neurological deficit.