A Curious case of Vasovagal Shock following Transesophageal Endobronchial Ultrasound-Guided Needle Aspiration (EUS-B-NA)

A Curious case of Vasovagal Shock following Transesophageal Endobronchial Ultrasound-Guided Needle Aspiration (EUS-B-NA)

Authors

  • Ram Niwas Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur
  • Benhur Joel Shadrach Pulmonary, Critical care & Sleep Medicine, Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur
  • Kunal Deokar Pulmonary, Critical care & Sleep Medicine, Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur
  • Naveen Dutt Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur
  • Priyank Jain Pulmonary, Critical care & Sleep Medicine, Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur

Keywords:

EUS-B-NA, vasovagal, bradycardia, atropine

Abstract

Esophageal ultrasound-guided bronchoscopic needle aspiration (EUS-B-NA) is a relatively safe procedure with rare complications. A vasovagal attack after EUS-B-NA has not been reported to date. Usually benign and self-limiting, it can cause refractory bradycardia and sudden cardiac arrest. Timely intervention reduces morbidity and mortality. Here, we report a novel case of vasovagal attack after EUS-B-NA and was managed successfully. Management includes identifying the triggering event and keeping the patient in the Trendelenburg position. Atropine is reserved for refractory cases. (www.actabiomedica.it)

Author Biographies

Ram Niwas, Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur

Assistant Professor

Kunal Deokar, Pulmonary, Critical care & Sleep Medicine, Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur

DM Fellow

Naveen Dutt, Department of Pulmonary Medicine, All India Institute of Medical Sciences (AIIMS), Jodhpur

Additional Professor

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Published

04-11-2021

How to Cite

1.
Niwas R, Shadrach BJ, Deokar K, Dutt N, Jain P. A Curious case of Vasovagal Shock following Transesophageal Endobronchial Ultrasound-Guided Needle Aspiration (EUS-B-NA). Acta Biomed [Internet]. 2021 Nov. 4 [cited 2024 Jul. 20];92(S1):e2021133. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/10412