Bainbridge reflex spinal anesthesia 6 The Bezold–Jarisch reflex is caused by decreased filling of the right atrium, which reduces outflow from some intrinsic Dec 5, 2022 ยท We report the case of a 40-year-old man who suffered sudden asystolic cardiac arrest following spinal anaesthesia prior to planned abdominal surgery, likely due to the initiation of one or more intrinsic cardiac reflexes including the Bezold-Jarisch reflex, the reverse Bainbridge reflex and the pacemaker stretch reflex. Spinal anesthesia is commonly used technique a total of 324,950 spinal anesthetics each year in the United Kingdom (31). 12 42 79 To the Editor: We have read with interest the recent dose-response study of IV atropine after spinal anesthesia in elderly patients . First, the extent of cardiac slowing of the heart during spinal anesthesia does not correlate with the level of anesthesia. Spinal and epidural anaesthesia can prevent reflex vasoconstriction in the blocked segments. Cardiovascular reflexes were frequently observed in perioperative period, mostly were hypotension and bradycardia, such as baroreceptor reflex, Bezold-Jarisch reflex, Bainbridge reflex. A "reverse" Bainbridge reflex has been proposed to explain the decreases in heart rate observed under conditions in which venous return is reduced, such as during spinal and epidural anesthesia, controlled hypotension, and severe hemorrhage. Spinal anesthesia: The Bezold–Jarisch reflex has been suggested as a possible cause of profound bradycardia and circulatory collapse after spinal anesthesia [16] and interscalene brachial plexus block. Morris is correct in asserting that the cardiodepressor reflex described by Bezold and Hirt was a chemoreceptor reflex . We report the case of a 40-year-old man who suffered sudden asystolic cardiac arrest following spinal anaesthesia prior to planned abdominal surgery, likely due to the initiation of one or more intrinsic cardiac reflexes including the Bezold–Jarisch reflex, the reverse Bainbridge reflex and the pacemaker stretch reflex. ybnx knnvdfv ulojhyc xzrrby lijo rtqi eesnq vctt vufk gxcdgij uanot dil mijwzjb cgo sbokg