A case of cardiorespiratory collapse following bilateral sub-Tenon's blocks from brainstem anaesthesia.

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI:10.1177/0310057X241265729
Steven C Cai, Anne-Marie Amie W Dempster, Alfred Wy Chua
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Abstract

Sub-Tenon's block has a superior safety profile and life-threatening complications such as cardiovascular collapse and brainstem anaesthesia are extremely rare. We report a case of cardiorespiratory collapse following bilateral sub-Tenon's blocks at the conclusion of a laser photocoagulation procedure under general anaesthesia. The cause was most likely brainstem anaesthesia. We explore and discuss the likely mechanisms and other potential differential diagnoses. It highlights the importance of maintaining vigilance following an eye block. Attention should not falter upon completing a block or at the conclusion of a case, regardless of its type or safety profile. This case also illustrates how the presence of general anaesthesia may obscure and delay the diagnosis of brainstem anaesthesia.

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一例脑干麻醉后双侧腱膜下阻滞后心肺功能衰竭的病例。
腱膜下阻滞具有卓越的安全性,心血管衰竭和脑干麻醉等危及生命的并发症极为罕见。我们报告了一例在全身麻醉下完成激光光凝手术后进行双侧腱膜下阻滞后出现心肺功能衰竭的病例。病因很可能是脑干麻醉。我们探讨并讨论了可能的机制和其他潜在的鉴别诊断。这凸显了眼阻滞术后保持警惕的重要性。在完成阻滞后或病例结束时,无论其类型或安全性如何,都不应放松警惕。本病例还说明了全身麻醉的存在会如何掩盖和延迟脑干麻醉的诊断。
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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
150
审稿时长
3 months
期刊介绍: Anaesthesia and Intensive Care is an international journal publishing timely, peer reviewed articles that have educational value and scientific merit for clinicians and researchers associated with anaesthesia, intensive care medicine, and pain medicine.
期刊最新文献
JG Farrell and The Lung: An early description of intensive care delirium in literature. Promoting behavioural change by educating anaesthetists about the environmental impact of inhalational anaesthetic agents: A systematic review. MET call prevention. A cross-sectional study of the relationship between iron deficiency anaemia and chronic pain. Maximising environmental sustainability on the return to in-person conferencing: Report from a 2500-person anaesthesia meeting in Sydney, Australia.
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