ISSN: 2424-8673
Cardiac Arrest due to Deep Vasovagal Reflex during Cesarean Section
Article Type: Case Report
Recai Dagli1*, Hakan Bayir2, Nazan Kocaoglu1, Meryem Radavus Doylan1, Zeynel Abidin Erbesler1, Selda Songur Dagli3, Kubilay Dundar4

1Department of Anesthesiology and Reanimation, Ahi Evran University Faculty of Medicine, Kirsehir, Turkey

2Department of Anesthesiology and Reanimation, Abant Izzet Baysal University, Medical School, Bolu, Turkey 3Department of Obstetrics and Gynecology, Ahi Evran University Faculty of Medicine, Kirsehir, Turkey

4Department of Obstetrics and Gynecology, Ahi Evran University Faculty of Medicine, Kirsehir, Turkey
Corresponding Author:

Dr. Recai Dagli

Department of Anesthesiology and Reanimation

Ahi Evran University Faculty of Medicine

Kirsehir, Turkey.

Received: 2015-11-03 ; Accepted: 2015-12-11 ; Published: 2015-12-18
Citation: Dagli R, Bayir H, Kocaoglu N, Doylan MR, Erbesler ZA et al. (2015) Cardiac arrest due to deep vasovagal reflex during cesarean section. Jol Aneth Criti Cre 1:10449.
Copyright: © 2015 Dagli R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credi
  • Abstract
  • Full Text
  • References
  • Tables
  • Images
  • PDF

Massive hemorrhage, vena cava inferior compression, orthostasis and high levels of regional anesthesia spread may cause vasovagal reflex during cesarean section. A term pregnant patient was scheduled for caesarean section because of repeated caesarean section and transverse position of the fetus. While the surgeon was delivering the fetus, he had to apply version maneuver. During this maneuver deep bradycardia and hypotension occurred due to vasovagal reflex which was unresponsive to atropine and ephedrine. Pulseless electrical activity was recognized and cardiopulmonary resuscitation was initiated. Vasovagal reflex is an important problem which should be carefully observed and managed by the anesthetist and the obstetrician.
Visitor Counter