title: [Sudden bradycardia and hypotension in five patients under spinal anesthesia during transurethral resection of the prostate].
abstract: We reported five patients had developed sudden bradycardia and hypotension under spinal anesthesia during transurethral resection of the prostate. The symptoms occurred not only just after the induction of spinal anesthesia, but also at the end of operation. It seems that these symptoms are caused from water intoxication, myocardial ischemia or vagal reflex. This emphasizes the importance of rigorous vigilance on patients until the end of operation.
authors.affiliation: Department of Anesthesia, Sanraku Hospital, Tokyo 101-0062.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kawasaki
authors.forename: Katunobu
authors.initials: K
authors.lastname: Hoshino
authors.forename: Manabu
authors.initials: M
authors.lastname: Takahashi
authors.forename: Seturou
authors.initials: S
authors.lastname: Ogawa
mesh_terms: D000368:Aged; D000775:Anesthesia, Spinal / Q000009:adverse effects*; D001919:Bradycardia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D016343:Monitoring, Intraoperative; D017202:Myocardial Ischemia / Q000150:complications; D012018:Reflex; D020728:Transurethral Resection of Prostate; D014630:Vagus Nerve / Q000503:physiopathology; D014869:Water Intoxication / Q000150:complications