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Case Reports
. 1998 Nov;45(9):397-400.

[Cardiorespiratory Failure and Diabetic Autonomic Neuropathy: A Case Report]

[Article in Spanish]
Affiliations
  • PMID: 9847658
Case Reports

[Cardiorespiratory Failure and Diabetic Autonomic Neuropathy: A Case Report]

[Article in Spanish]
L Cánovas et al. Rev Esp Anestesiol Reanim. .

Abstract

Advanced autonomic neuropathy in diabetic patients is associated with homeostatic cardiovascular response. Sympathetic compensation diminishes and the organism becomes more susceptible to the depressant effect of certain drugs. The incidence of undesirable cardiovascular effects (bradycardia, hypotension and sudden heart failure) during anesthesia is higher in such patients. We report the case of a woman with diabetes who suffered two episodes of sudden heart failure after brachial plexus block through the axilla, followed one year later by sudden heart failure during general anesthesia for kidney transplantation. The possible contributing mechanisms are described.

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