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Korean Journal of Anesthesiology 2006;51(3):383-386.
DOI: https://doi.org/10.4097/kjae.2006.51.3.383   
A Case of Asystolic Cardiac Arrest in the Sitting Position for Shoulder Arthroscopy using an Interscalene Block: A case report.
Chan Hong Park, Hong Tae Kwon, Woon Seok Roh
Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. usno@cu.ac.kr
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.
Key Words: cardiac arrest; complications; interscalene block; vasovagal syncope


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