Rejyonel anestezide nadir görülen unutulması durumunda yüksek risk taşıyan bir refleks: Bezold-Jarisch refleksi

Bezold-Jarisch reflksi rejyonal anestezi, üst ekstremite sinir blokları ve bazen de genel anestezi sırasında kimyasal veya mekanik reseptörlerle uyarı sonucu hipotansiyon, bradikardi, apne veya kardiyak arrest ile ortaya çıkabilir. Üst ekstremite sinir blokları sırasında daha çok oturur pozisyonda ortaya çıkan bu reflks diğer komplikasyonlar arasında genellikle unutulabilmektedir. Önlemler alındığı ve yeterli kardiyak monitörizasyon yapıldığı takdirde bu reflks neticesinde oluşabilecek komplikasyonların üstesinden gelinebilmektedir. Bu çalışmada sunacağımız vakalarda unutulduğu zaman ciddi komplikasyonlara yol açabilecek bir reflks olan Bezold-Jarisch reflksini hatırlatmak istedik.

Rare reflex in regional anesthesia which have a high-risk in case of forgotten: Bezold-Jarisch reflex

Bezold-Jarisch reflx is a reflx that may occur during regional anesthesia, upper-extremity blocks and sometimes in general anesthesia, resulting in hypotension, bradycardia, apnea or cardiac arrest elicited by chemical or mechanical receptor stimulations. This reflx mostly occurs in the sitting position during upper-extremity nerve blocks can be forgotten in other complications. The complications that occurred after this reflx can be overcome by taking necessary precautions and providing suffient cardiac monitorization. In our cases to be presented, we want to remind you of Bezold-Jarisch reflx, which may cause severe complications when forgotten.

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