Ocala Regional Medical Center
cardiac arrythmias, cardiovascular diseases, back pain, spinal cord
Anesthesiology | Nervous System | Therapeutics
We report a case of severe bradycardia during spinal cord implantation. A 43 year old female with a history of chronic refractory lumbar back pain presented for revision of spinal cord stimulator. Preoperative assessment was positive only for bilateral lower extremity radiculopathy. During the procedure, surgeon’s attempt to advance the lead through scar tissue elicited severe bradycardia (HR 28) resolved with glycopyrrolate. Compression of spinal cord secondary to difficult lead placement could be the cause of this cardiovascular event. Anesthesiologists need to be aware that severe bradycardia can occur during spinal cord implantation.
Publisher or Conference
Anesthesiology Annual Meeting 2019
Blanchard M, Crimi E, Pyles S. Severe Bradycardia During a Spinal Cord Stimulator Procedure. Poster presented at: Anesthesiology Annual Meeting 2019; October 19-23, 2019; Orlando, FL.