title: Occurrence of the Bezold-Jarisch reflex during Cesarean section under spinal anesthesia--a case report.
abstract: We report a 35-year-old parturient with gestational diabetes mellitus (GDM) history who sustained a nearly fatal Bezold-Jarisch reflex during Cesarean section under spinal anesthesia. A high spinal block combined with acute massive hemorrhage may produce life-threatening Bezold-Jarisch reflex which should be treated prophylactically and aggressively during surgery. Additionally, the autonomic disturbance associated with GDM might exaggerate the reflex in this episode. The patient survived after successful resuscitation and was discharged without any sequela.
authors.affiliation: Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
authors.forename: Ching-Huei
authors.initials: CH
authors.lastname: Ou
authors.forename: Mei-Yung
authors.initials: MY
authors.lastname: Tsou
authors.forename: Chien-Kun
authors.initials: CK
authors.lastname: Ting
authors.forename: Chiuan-Shiou
authors.initials: CS
authors.lastname: Chiou
authors.forename: Kwok-Hon
authors.initials: KH
authors.lastname: Chan
authors.forename: Shen-Kou
authors.initials: SK
authors.lastname: Tsai
mesh_terms: D000328:Adult; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D001341:Autonomic Nervous System / Q000502:physiology*; D001919:Bradycardia / Q000209:etiology*; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D012018:Reflex / Q000502:physiology*