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Anesthesiology Case Reports

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During Spinal Anesthesia, Bradycardia may occur.

Author(s): Ravish Kapoor

An elective knee arthroscopy was planned for a 20-year-old female athlete. Only the history of fainting was remarkable in the medical history. At the L4-5 interspace, a spinal anaesthetic containing 60 mg lidocaine 2 percent plain was administered. The patient chose to watch the video display instead of being sedated and stayed fully awake. The patient began to feel nauseous thirty minutes after the spinal was injected. Her heart rate had dropped to 28 beats per minute from 50 beats per minute at the start. The patient went into asystole all of a sudden. Despite positive pressure ventilation and 100% oxygen supplied via a mask, she soon became cyanotic.
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