• Acta Anaesthesiol Taiwan · Sep 2004

    Case Reports

    Occurrence of the Bezold-Jarisch reflex during Cesarean section under spinal anesthesia--a case report.

    • Ching-Huei Ou, Mei-Yung Tsou, Chien-Kun Ting, Chiuan-Shiou Chiou, Kwok-Hon Chan, and Shen-Kou Tsai.
    • Department of Anesthesiology, Taipei Veterans General Hospital and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.
    • Acta Anaesthesiol Taiwan. 2004 Sep 1;42(3):175-8.

    AbstractWe report a 35-year-old parturient with gestational diabetes mellitus (GDM) history who sustained a nearly fatal Bezold-Jarisch reflex during Cesarean section under spinal anesthesia. A high spinal block combined with acute massive hemorrhage may produce life-threatening Bezold-Jarisch reflex which should be treated prophylactically and aggressively during surgery. Additionally, the autonomic disturbance associated with GDM might exaggerate the reflex in this episode. The patient survived after successful resuscitation and was discharged without any sequela.

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