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Acute Respiratory Arrest and Brain Sequale Ocurred after General Anesthesia in Diabetic Autonomic Neuropathy Patient: A Case Report
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Tae Hun An, Tae Hyeong Kim, Byung Sik Yu
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Korean J Crit Care Med. 2004;19(2):130-133.
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 Abstract
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- The incidence of autonomic neuropathy is high in diabetic patients. Cardiovascular complications including sudden cardiorespiratory arrest, bradycardia, hypotension can occur in diabetic patients complicated with autonomic neuropathy.
The causes of sudden deaths in diabetics may not always be due to silent myocardial infarction but may also be due to autonomic neuropathy. Patients with diabetic autonomic neuropathy are less able to withstand hypoxia compare to normal people due to sympathetic nerve system damage. We present a case of acute respiratory arrest that occured in a 38 years old diabetic autonomic neuropathy patient after general anesthesia. Even though the patient was carried rapid and adequate airway management within 5 minutes, the patient had severe brain sequale. We conclude that the diabetic autonomic neuropathy patients require more careful monitoring and management for the hypoxia and cardiovascular status because they are more sensitive in hypoxia.
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Vagal Reflex Induced Bronchospasm
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Tae Hyeong Kim, Yong Lak Kim
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Korean J Crit Care Med. 2000;15(2):113-116.
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Abstract
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- The parasympathetic nervous system has been considered to have an important role in bronchospasm. Although vagal reflexes are well documented in animal models of airway hyperresponsiveness, their importance in asthmatic attacks in man is less documented. We report a case of bronchospasm during sclera buckling operation and we believe that this patient's bronchospasm was induced by the vagal reflex.
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KSCCM
