Occurrence of the Bezold-Jarisch reflex during Cesarean section under spinal anesthesia--a case report.
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.
Ou
Ching-Huei
CH
Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
Tsou
Mei-Yung
MY
Ting
Chien-Kun
CK
Chiou
Chiuan-Shiou
CS
Chan
Kwok-Hon
KH
Tsai
Shen-Kou
SK
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*