Sudden Cardiac Arrest Under Spinal Anesthesia in a Mission Hospital

A Case Report and Review of the Literature

Bamidele Johnson Alegbeleye


J Med Case Reports. 2018;12(144) 

In This Article


Ever since August Bier administered the first clinical spinal anesthesia more than a century ago, it has become an integral part of the modern day anesthesia practice. Although considered simple to perform and a relatively safe technique, life-threatening complications do occur under spinal anesthesia.[1,2] In the literature, the reported incidence of cardiac arrest is 1.3–18 in 10,000 patients.[3,4,5]

We are reporting the occurrence of unanticipated delayed cardiac arrest following spinal anesthesia in a young and healthy patient. This communication is to bring to the fore the importance of vigilant monitoring and prompt intervention in the management of sudden cardiac arrest under spinal anesthesia in a low-resource setting.