Severe vasovagal attack during regional anaesthesia for caesarean section.
A patient experienced a severe vasovagal attack during regional anaesthesia for elective Caesarean section. The combination of vagal over-activity and sympathetic block produced profound hypotension that threatened the life of the mother and infant. The vasovagal syndrome is described, and its prevention and management discussed.
Watkins
E J
EJ
Department of Anaesthesia, Leeds General Infirmary, UK.
Dresner
M
M
Calow
C E
CE
D000328:Adult; D000765:Anesthesia, Conduction / Q000009:adverse effects*; D000773:Anesthesia, Obstetrical / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*; D019462:Syncope, Vasovagal / Q000209:etiology*