Neurally Mediated Syncope During Cesarean Delivery: A Case Report

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

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)96-99
Number of pages4
JournalA & A case reports
Volume8
Issue number5
DOIs
Publication statusPublished - Mar 1 2017

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Nitroglycerin
Syncope
Pre-Eclampsia
Heart Arrest
Pressure
Hypovolemia
Unconsciousness
Conduction Anesthesia
Myometrium
Spinal Anesthesia
Cardiopulmonary Resuscitation
Bradycardia
Smooth Muscle
Pregnancy
Anesthetists

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Neurally Mediated Syncope During Cesarean Delivery : A Case Report. / Sato, Seiko; Nakamori, Erisa; Kusumoto, Go; Shigematsu, Kenji; Yamaura, Ken.

In: A & A case reports, Vol. 8, No. 5, 01.03.2017, p. 96-99.

Research output: Contribution to journalArticle

Sato, Seiko ; Nakamori, Erisa ; Kusumoto, Go ; Shigematsu, Kenji ; Yamaura, Ken. / Neurally Mediated Syncope During Cesarean Delivery : A Case Report. In: A & A case reports. 2017 ; Vol. 8, No. 5. pp. 96-99.
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