Neurally Mediated Syncope During Cesarean Delivery: A Case Report

Seiko Sato; Erisa Nakamori; Go Kusumoto; Kenji Shigematsu; Ken Yamaura

doi:10.1213/XAA.0000000000000440

Neurally Mediated Syncope During Cesarean Delivery: A Case Report

Seiko Sato, Erisa Nakamori, Go Kusumoto, Kenji Shigematsu, Ken Yamaura

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

A 28-year-old woman with preeclampsia at 32 weeks of gestation underwent a cesarean delivery under spinal anesthesia. Administration of nitroglycerin at 200 μg to relax uterine smooth muscles and the application of fundal pressure led to severe bradycardia and loss of consciousness, followed by cardiac arrest. Delivery was completed immediately and recovery was achieved 10 seconds later following cardiopulmonary resuscitation. Neurally mediated syncope was considered the cause of cardiac arrest. Anesthetists should be aware of the potential risk during cesarean delivery following the administration of nitroglycerin, fundal pressure, regional anesthesia, and hypovolemia because of preeclampsia.

Original language	English
Pages (from-to)	96-99
Number of pages	4
Journal	A & A case reports
Volume	8
Issue number	5
DOIs	https://doi.org/10.1213/XAA.0000000000000440
Publication status	Published - Mar 1 2017
Externally published	Yes

All Science Journal Classification (ASJC) codes

Medicine(all)

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10.1213/XAA.0000000000000440

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abstract = "A 28-year-old woman with preeclampsia at 32 weeks of gestation underwent a cesarean delivery under spinal anesthesia. Administration of nitroglycerin at 200 μg to relax uterine smooth muscles and the application of fundal pressure led to severe bradycardia and loss of consciousness, followed by cardiac arrest. Delivery was completed immediately and recovery was achieved 10 seconds later following cardiopulmonary resuscitation. Neurally mediated syncope was considered the cause of cardiac arrest. Anesthetists should be aware of the potential risk during cesarean delivery following the administration of nitroglycerin, fundal pressure, regional anesthesia, and hypovolemia because of preeclampsia.",

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AU - Shigematsu, Kenji

AU - Yamaura, Ken

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AB - A 28-year-old woman with preeclampsia at 32 weeks of gestation underwent a cesarean delivery under spinal anesthesia. Administration of nitroglycerin at 200 μg to relax uterine smooth muscles and the application of fundal pressure led to severe bradycardia and loss of consciousness, followed by cardiac arrest. Delivery was completed immediately and recovery was achieved 10 seconds later following cardiopulmonary resuscitation. Neurally mediated syncope was considered the cause of cardiac arrest. Anesthetists should be aware of the potential risk during cesarean delivery following the administration of nitroglycerin, fundal pressure, regional anesthesia, and hypovolemia because of preeclampsia.

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Neurally Mediated Syncope During Cesarean Delivery: A Case Report

Abstract

All Science Journal Classification (ASJC) codes

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