Cardiac Arrest Due to Severe Vasovagal Response After Spinal Anaesthesia in Caesarean Section: Case Report

Introduction and importance: The vasovagal response is a reflex action that causes cardiovascular depression, bradycardia, loss of consciousness. It important to be aware the risk factors for pathophysiology must managed once it occurs. Case presentation: A 28-year-old mother was admitted Ambo University Hospital an emergency cesarean section. She received spinal anesthesia with bupivacaine 12.5 milligrams isobaric, after T4 blockade reached, surgery initiated. few seconds later, patient’s heart rate, consciousness, oxygen saturation, blood pressure dropped then immediately cardiopulmonary resuscitation started adrenaline fluid administered. After minutes, vital signs recovered. And careful monitoring in intensive care unit 24 hours, patient discharged obstetrics department her home 2 days later without leaving any specific sequelae. This case demonstrates potentially serious damage during section, particularly placental expulsion. Discussion: Vasovagal secondary uterine retraction rare phenomenon, which results decrease rate pressure, finally cardiac arrest. So know warning early beginning recitations. Conclusion: unanticipated can cause severe consequences. Therefore, lessons we learned from this were history-taking preoperative evaluation; proper management preload, recognition responses through monitoring, timely treatment hemodynamic collapse. HighlightThe may manipulation.Vasovagal reflexes arrest.Spinal sympathetic nervous system block hypotension.