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Int J Obstet Anesth · May 2019
Case ReportsSyncope after administration of epidural analgesia in an obstetric patient with a vagus nerve stimulator.
- J E Tang and J B Hyman.
- Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place Box 1010, New York, NY 10029, United States.
- Int J Obstet Anesth. 2019 May 1; 38: 134-137.
AbstractVagus nerve stimulation (VNS) is an adjunctive therapy for medically refractory epilepsy and depression. Vagus nerve stimulation is generally well-tolerated, but cardiac arrhythmias or asystole are rare complications that have been reported. This case report describes an obstetric patient who received epidural analgesia and subsequently experienced two episodes of syncope synchronous with stimulation from her VNS device. These resolved after deactivating the device. This is the first report of a suspected arrhythmia during VNS in the setting of epidural analgesia.Copyright © 2019 Elsevier Ltd. All rights reserved.
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