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Korean Journal of Anesthesiology 2005;48(1):99-103.
DOI: https://doi.org/10.4097/kjae.2005.48.1.99   
Sudden Cardiac Arrest Following Cervical Facet Joint Injection: A case report.
Young Sun Seo, Jong Hyuk Kim, Choon Hak Lim, Hae Ja Lim, Hye Won Lee, Suk Min Yoon, Seong Ho Chang, In Jung Chae
1Departments of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea. torchid@korea.ac.kr
2Departments of Orthopedic Surgery, College of Medicine, Korea University, Seoul, Korea.
The common disorder called facet syndrome exhibits back pain, with or without referred or radiating pain due to facet joint arthropathy. Facet joint injection using local anesthetics is a reliable method for the diagnosis and treatment for facet syndrome. Because the complications secondary to facet block have usually been temporary and infrequent, facet block has been known as a simple and safe procedure. But spinal anesthesia is a serious complication of facet block and can lead to a life threatening conditions. The authors report a patient who developed un-explainable cardiac arrest following facet joint injection. A 64 year-old woman with 4-year history of cervical facet syndrome was admitted for the fourth facet block. Cardiac arrest followed with unconsciousness and apnea occurred 4 minutes after cervical facet joint injection with 2 ml of 2% lidocaine. The patient was immediately resuscitated and recovered without any sequelae. Sudden cardiac arrest can be unexpectedly developed during facet block, and we recommend close monitoring during cervical facet joint block.
Key Words: complications; facet joint block; lidocaine; spinal anesthesia


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