Cardiac Arrest During Spinal Block

While general anesthesia is used for many surgical procedures, and local anesthetics are usually given by injection into a very specific part of the body that needs to be numbed, an injection of numbing medication into a patient’s back allows a whole region of the lower body to be pain-free without putting the patient to sleep during some abdominal surgeries, leg and feet surgeries or other lower body procedures, such as urinary tract procedures. Spinal block is also the preferred method of controlling pain during labor and delivery.

Spinal anesthesia is performed by an anesthesiologist (a doctor who specializes in administering all types of anesthesia to patients) who injects the medication just outside or just inside the membrane surrounding the spinal cord.  If the numbing medication is injected just outside of the membrane that holds the spinal fluid, it is known as an epidural injection.  If the anesthetic is injected directly into the spinal fluid it is known as a spinal injection. Epidural injection is placed using a small, soft tube (catheter) and can be injected into the patient’s back at either the upper (cervical), middle (thoracic) or lower (lumbar) region.  Spinal injection uses a needle to enter the spinal fluid and can only be inserted in the lower (lumbar) spine to avoid puncturing the spinal cord with the sharp needle.

Epidural and spinal anesthesia work fast to numb the abdomen, legs and feet by blocking nerve signals. A patient will begin to feel the effects of an epidural or spinal injection within just a few minutes and will typically experience complete lower body numbness, and no pain, within twenty minutes.

Handled properly, epidural and spinal blocks offer anesthesia quickly and efficiently. However, if the injection is given in the wrong place (wrong site) or if too much medication is injected (an overdose) respiratory and cardiac arrest can occur. For example, if the anesthesia spreads above or below the intended spinal level, it can block nerves responsible for signaling the heart to beat and cause a dangerous slowing of the heartbeat (arrhythmia or bradycardia), a severe drop in blood pressure (hypotension) or a cardiac arrest.  Similarly, if the medication is incorrectly injected into a blood vessel it enters the bloodstream, travels throughout the body (systemic toxicity) and can interfere with the patient’s heart rate, breathing and blood pressure. This may cause heart damage, a brain injury or even death, by significantly affect the following:

  • Heart
  • Breathing
  • Brain function

Because of the risks of life-threatening complications during epidural and spinal anesthesia, equipment for emergency care (such as a defibrillator and injections of vasopressor medications) must be readily available and the attending healthcare providers must be prepared to immediately recognize and treat these complications. If you have been injured as a result of an epidural or spinal block the attorneys at Yost Legal Group are ready to investigate your claim with compassion and determination.

Call The Yost Legal Group today at 1-800-YOST-LAW (967-8529) for a FREE, confidential, no-obligation consultation.

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Sleep Apnea Sufferers Have a Higher Risk of Hypoxia During Surgery

Sleep apnea is a disorder where breathing repeatedly stops and starts while the individual is asleep. Since it is a disruption to REM sleep, those affected often feel fatigued during the day or wake up with headaches and have difficulty with irritability and paying attention. It is also uncontrollable, which can make it potentially dangerous to those who suffer from it.

Sleep apnea can cause complications when a patient is put under anesthesia for surgery. Anesthesia is a temporary state of unconsciousness. It slows down heart rate and relaxes the patient, which can then cause more intense breathing issues for those with sleep apnea.

Patients who have sleep apnea have an increased chance of complications during anesthesia including:

  • Hypoxia
  • Pneumonia
  • Difficult Intubation
  • Heart Attack (MI)
  • Pulmonary Embolism (PE)

When undergoing surgery it is important to inform your doctor if you have sleep apnea. However, most individuals who have sleep apnea are unaware that they even suffer from it. Before surgery takes place, it is the responsibility of your doctor to conduct a thorough preoperative assessment to ensure that the patient will be safe once in surgery.

Post-operative patients should also be closely monitored for hypoxia or other complications. Hypoxia is a life-threatening condition that occurs when a person is not receiving enough oxygen, such as when the airway is blocked, or breathing is too shallow, too slow, or breathing stops altogether. Hypoxic injuries include tissue and organ damage, heart attacks, brain injury and even death.

Symptoms of hypoxia include:

  • Skin, lips and nail beds turning blue (cyanosis)
  • Fast heart rate (tachycardia)
  • Rapid breathing (tachypnea)
  • Shortness of breath (dyspnea)
  • Coughing
  • Confusion or loss of consciousness.

When any of these symptoms occur the most important thing is to get oxygen back into the body. Hospital professionals may do this by delivering oxygen through at tube into the nose or mouth, or a breathing machine may be used for more severe cases.

If you or a loved one experienced hypoxia or any other complication after surgery because a health care professional failed to take the necessary precautions to ensure your safety, call The Yost Legal Group at 1-800-YOST-LAW (967-8529) for a free consultation. Our experienced attorneys at Yost Legal Group fight hard for individuals who have been negatively impacted by the negligence of others and are always ready to investigate your claim with compassion and determination.

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