전신-경막외 병용마취 중 발생한 급성 심근경색증
- Alternative Title
- Acute Myocardial Infarction during General Anesthesia Combined with Epidural Anesthesia - A case report
- Abstract
- The general anesthesia combined with epidural anesthesia have many advantages, which are including early recovery, postoperative analgesia, and less requirement of inhalation anesthetic. But the complications of epidural anesthesia such as total spinal anesthesia, respiratory depression, myocardial ischemia, and local anesthetic toxicity can lead to cardiac arrest. We report a case of acute myocardial infarction in a 74-year-old female patient receiving general anesthesia combined with epidural anesthesia. The profound hypotension without bradycardia and ST-segment elevation in lead II occurred 1 hour after local anesthetic injection and cardiac arrest followed. After the injection of atropine, epinephrine and dopamine, and external cardiac massage, sinus rhythm was restored. Postoperative serial examinations of ECG showed ST-segment elevation in leads II, III, aVF and serum enzymes such as CPK, CK-MB, and Troponin T were elevated. Emergency percutaneous transluminal coronary angioplasty was performed and the patient recovered uneventfully.
- All Author(s)
- 정진헌
; 서용한
; 안기량
; 김천숙
; 강규식
; 유시현
; 정지원
- Issued Date
- 2008
- Type
- Article
- Keyword
- acute myocardial infarction; cardiac arrest; epidural anesthesia
- Publisher
- 대한마취과학회
- ISSN
- 2005-6419
; 2005-7563
- Citation Title
- 대한마취과학회지
Korean journal of anesthesiology
- Citation Volume
- 54
- Citation Number
- 1
- Citation Start Page
- 84
- Citation End Page
- 87
- Language(ISO)
- kor
- DOI
- 10.4097/kjae.2008.54.1.84
- URI
- http://schca-ir.schmc.ac.kr//handle/2022.oak/285
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