The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Cardiac Arrest during Thoracic Epidural Blockade in the Patient with Multiple Rib Fractures -A case report-

다발성 늑골골절 환자에서 흉부 경막외 차단중 발생한 심정지 -증례 보고-

  • Bae, Sei-Kwan (Department of Anesthesiology, Dongin Genernal Hospital) ;
  • Lee, Young-Bok (Department of Anesthesiology, Yonsei University Wonju College of Medicine) ;
  • Yoon, Kyung-Bong (Department of Anesthesiology, Yonsei University Wonju College of Medicine) ;
  • Im, Kong-Been (Department of Anesthesiology, Yonsei University Wonju College of Medicine)
  • 배세관 (동인종합병원 마취과) ;
  • 이영복 (연세대학교 원주의과대학 마취과학교실 통증치료실) ;
  • 윤경봉 (연세대학교 원주의과대학 마취과학교실 통증치료실) ;
  • 임공빈 (연세대학교 원주의과대학 마취과학교실 통증치료실)
  • Published : 1997.05.31
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Abstract

Rib fracture due to intense pain, may restrict patients from inadequate coughing. These conditions may produce varying degrees of complications such as atelectasis, pneumonia and arterial hypoxemia. Thoracic epidural analgesia has been used to treat pain associated multiple rib fractures because of its marked improvement in vital capacity and dynamic lung compliance. However, there are complications related to thoracic epidural analgesia which may include damage to spinal cord, perforation of dura, respiratory depression, decrease heart rate and arterial blood pressure. We experienced such a case of cardiac arrest during thoracic epidural analgesia while treating a patient for multiple rib fractures.

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