Asystole Following Profound Vagal Stimulation During Hepatectomy

Asystole Following Profound Vagal Stimulation During Hepatectomy

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Asystole in a non laparoscopic upper abdominal surgery following intense vagal stimulation is a rare event.This case report highlights the need for awareness of such a complication when a thoracic Eyebrow Enhancers epidural anaesthetic has been given in addition to a general anaesthetic for an upper abdominal procedure.A combined thoracic epidural and general anaesthetic was given.The anterior abdominal wall was retracted forty minutes after administration of the epidural bolus.

This maneuver resulted in a profound vagal response with bradycardia and asystole.The patient Inner Door Moulding was resuscitated successfully with a cardiac massage, atropine and adrenaline and the surgery was resumed.Surgery lasted eleven hours and was uneventful.