| A Case of Sudden Hypotension Following Intraoperative Intercostal Nerve Block. |
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Jeong Ja Song, Sang Kyi Lee, Ja Hong Kuh, He Sun Song |
1Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea.
2Department of Thoracic Cardiovascular Surgery, Chonbuk National University Medical School, Chonju, Korea. |
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| Abstract |
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Postoperative pain may be associated with shallow breathing, inability to cough, and reduction in spirometric values which lead to restrictive pattern of ventilation with hypoxemia and/or hypercarbia. Therefore, postoperative pain should be managed with appropriate methods. The authors have usually performed intraoperative intercostal nerve block with 0.25% bupivacaine hydrochloride to alleviate postoperative thoracotomy pain. A 21 years old male patient developed sudden hypotension and severe bradycardia 1 minute following the intraoperative 4th, 5th, 6th intercostal nerve block with a total of 10 ml of 0.25% bupivacaine hydrochloride, who was treated by ephedrine with success.
The authors discuss the possible causes of sudden hypotension and severe bradycardia in detail. |
| Key Words:
Intercostal nerve block; Bupivacaine; Postoperative pain; Hypotension |
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