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증례보고 : 사각근간 상박 신경총 차단하 견관절경 수술 시 좌위에서 발생한 무수축성 심정지
박찬홍 ( Chan Hong Park ),권홍태 ( Hong Tae Kwon ),노운석 ( Woon Seok Roh ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.3
An interscalene block for shoulder surgery provides excellent surgical conditions and is well received by patients. However, a combination of the sitting position, regional anesthesia, an awake patient, and a surgical procedure can result in another side effect, vasovagal episodes, which may lead to cardiac arrest in extreme cases. We experienced a case of 32-year-old male patient with a severe vasovagal episode that led to asystolic cardiac arrest 15 minutes after the changing to the sitting position under an interscalene block for shoulder arthroscopic surgery. (Korean J Anesthesiol 2006; 51: 383~6)