title: [Cardiorespiratory failure and diabetic autonomic neuropathy: a case report].
abstract: Advanced autonomic neuropathy in diabetic patients is associated with homeostatic cardiovascular response. Sympathetic compensation diminishes and the organism becomes more susceptible to the depressant effect of certain drugs. The incidence of undesirable cardiovascular effects (bradycardia, hypotension and sudden heart failure) during anesthesia is higher in such patients. We report the case of a woman with diabetes who suffered two episodes of sudden heart failure after brachial plexus block through the axilla, followed one year later by sudden heart failure during general anesthesia for kidney transplantation. The possible contributing mechanisms are described.
authors.affiliation: Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Cristal-Piñor, Orense.
authors.forename: L
authors.initials: L
authors.lastname: Cánovas
authors.forename: R
authors.initials: R
authors.lastname: López
authors.forename: M
authors.initials: M
authors.lastname: Domínguez
authors.forename: A
authors.initials: A
authors.lastname: Gómez
authors.forename: M
authors.initials: M
authors.lastname: Ramil
authors.forename: A
authors.initials: A
authors.lastname: Castro
mesh_terms: D000328:Adult; D000768:Anesthesia, General / Q000009:adverse effects*; D001166:Arteriovenous Shunt, Surgical; D001917:Brachial Plexus; D003929:Diabetic Neuropathies / Q000503:physiopathology*; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D016030:Kidney Transplantation; D009407:Nerve Block / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000503:physiopathology
vernacular_title: Parada cardiorrespiratoria y neuropatía autónoma diabética: experiencia en un caso.