Division

North Florida

Hospital

Ocala

Document Type

Poster

Publication Date

10-19-2019

Keywords

cardiac arrythmias, cardiovascular diseases, back pain, spinal cord

Disciplines

Anesthesiology | Nervous System | Therapeutics

Abstract

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

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