Asystole during spinal anaesthesia after change from Trendelenburg to horizontal position

  • Toshiaki Nishikawa
  • Yukinobu Anzai
  • Akiyoshi Namiki


We present a case in which progressive bradycardia and sudden cardiac arrest developed in a 26-year-old healthy woman with an ovarian cyst during spinal anaesthesia, immediately after the patient was moved from the 15° Trendelenburg to the supine horizontal position. We postulate that a decrease in venous return was the main cause of the cardiac arrest. It should be stressed again that close monitoring during spinal anaesthesia is essential when the patient is subjected to postural changes.

Key words

ANAESTHESIA, REGIONAL: spinal COMPLICATIONS: cardiac arrest POSITION: Trendelenburg supine horizontal 


On présente le cas ďune bradycardie progressive et ď un arrêt cardiaque lors ďune anesthésie rachidienne chez une patiente âgée de 26 ans présentant un kyste ovarien survenant immédiatement après changement de position ďun Trendelenbourg de 15° à une position horizontale. On pense que la diminution du retour veineux est la cause principale de ľarrêt cardiaque. On doit insister sur le fait qu’une surveillance étroite est nécessaire lors ďune rachi anesthésie quand le patient est asujetti à des changements de position.


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Copyright information

© Canadian Anesthesiologists 1988

Authors and Affiliations

  • Toshiaki Nishikawa
    • 1
    • 2
  • Yukinobu Anzai
    • 1
    • 2
  • Akiyoshi Namiki
    • 1
    • 2
  1. 1.Institute of Clinical Medicine, University of TsukubaTsukuba-CityJapan
  2. 2.Department of AnesthesiologySapporo Medical College and HospitalSapporoJapan

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