Husband went for routine procedure yesterday, heart rate and bp dropped - taken to hospital. Advice?

I don't have a clue ladulce but hope he returns to a full health soon...

it takes 3 hours or so for his heart rate to get up to 50-

I know this is very VERY not good!

Thank God he made it past that point!

Did the cyst get removed?

give him plenty of pussy when he recovers, helps a man this.

I have no idea.

Sorry.

Pray.


And try some cayenne pepper. Try putting it in water.

Google cayenne pepper heart

Where was the cyst, did they get to remove it, do you have details of everything they did to him and gave him?

Thank you all.

No, the cyst was not removed. It was a cosmetic thing that was bothering him. We obviously won't be pursuing it.

First of all, they left in awake to remove a cyst from the neck- near the adams apple. The doctor asked if a resident could do the surgery with him giving instructions. My husband agreed.

Apparently, they shot him with something in the area. they asked if he could still feel the area. He said yes. They gave him another shot.

He heard the doctor saying to the resident to cut deeper- that she had to cut until they saw the cyst. He looked down and saw blood shooting over his shoulder and stated that he couldn't see- everything was blurry. They sat him up and noticed that his vitals were extremely low- called ambulance and called me.

The ER doc says it was just a 'failed fight or flight reflex' and dismissed it as nothing more. The tests on his heart and blood and everything were all normal.

When I called the doctor that was there, he had said that after receiving lidocaine, his numbers plummeted.

This hospital is awful, and, I really don't have a lot of faith in them at all.

It might be bradycardia attack. Did they do an EKG or ECG and if so did the doctor find anything not working properly?

Bradycardia

Bradycardia is an abnormally slow heart rate of less than 60 beats per minute. A normal heartbeat is between 60 and 100 beats per minute.

Here's what happens during a normal heartbeat: The electrical signal that starts a heartbeat comes from the heart's sinus node, the natural pacemaker located in the upper portion of the right atrium. From the sinus node, the heartbeat signal travels to the atrioventricular (A-V) node, located between the atria, and then through the bundle of His (pronounced "hiss") -- a series of modified heart-muscle fibers located between the ventricles -- to the muscles of the ventricles. This triggers a contraction of the ventricles and produces a heartbeat.

[link to www.drugs.com (secure)]


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Salt water to numb the pain. LOL. That is a new one to me. I'm pretty sure your husband reacted to the lidocaine. You need to remember that in the event your husband is ever hospitalized for any surgery.

It sounds like a severe allergic reaction to the lidocaine.

I would get a second opinion. If it was close to his carotid artery or jugular vein and they shot lidocaine in the bloodstream it may have caused that.
Never let a resident work on you.

this is clearly malpractice, the er doc is covering for some strange reason, lawer up.

In addition if he seen blood squinting there's a good chance he hit the artery. I don't think the er doc is covering for him but possible the doc performing the procedure lied to them about what happened in procedure room.

Reaction to the painkiller. Xylocaine (same thing) does that, seen it myself. Depends on the person.

Sounds like it is either one of two things:

1) a reaction to the lidocaine
2) Vasovagal Response [link to en.wikipedia.org (secure)]

Just wanted to clarify. Did they give him the lidocaine or not? your first post said they had only given him saline.

Lidocaine:
"Tell your caregivers at once if you have any of these serious side effects:

feeling anxious, shaky, dizzy, restless, or depressed;
drowsiness, vomiting, ringing in your ears, blurred vision;
confusion, twitching, seizure (convulsions);
fast heart rate, rapid breathing, feeling hot or cold;
weak or shallow breathing, slow heart rate, weak pulse; or
feeling like you might pass out."

Last Edited by chrion777 on 01/14/2017 10:23 PM

There is a pressure sensor node called the carotid sinus in the neck near where they would have been injecting. If the injection caused the node to feel increased pressure, the body response would have been to lower the blood pressure and the heart rate.

Inadvertent IV administration of Lidocaine can also cause seizures and hypotension .


Good info about similar symptoms here:
[link to emedicine.medscape.com]

Last Edited by MarPep on 01/14/2017 10:23 PM

a lady friend had bradycardia below 50
so her cardiologist put her on zocor,
zocor in some cases causes bradycardia

her heartbeat went down to 30
woo hooo ER time
you know it
now they had to put in a pacemaker
win win, pacemaker company makes a sale,
surgeons get to operate
hospital makes money
drug company sells a worthless drug for 30 billion
dollars

lady friend now has a lump in her chest

idiot doctor
he has offered to put a defibrillator in me

nope

Do you have a history of ventricular fibrillation?

Thank you all. You are the best! This is so scary.

The attending resident and doctor stated that the had noticed the issue right after putting using lidocaine. My husband remembers the doctor telling the nurse to use the 16 mg one? I have no clue if that is amount of drug or size of needle or what. Neither does he.

The ER doc said they had only administered salt water. I specifically said, "no, to numb the area". His response was, "we've found that if you create a blister of salt water in the surrounding area, that it can numb the nerves". I told him that I had never heard of that. It sounded really strange to me.

We are supposed to go back and follow up with the original doctor and resident on Monday. I don't know if I should go or not.

They did the ECG along with a ton of other tests- complete blood count, x-rays, etc. All came back normal.

not that i know of
did have open heart surgery for aortic dissection,ascending and descending arch with femoral shunt in 2009

I think something went wrong, not just a bad reaction. I would definitely get him checked by someone not associated with those he just went to.

Lidocaine is cardiotoxic.

You know how lidocaine numbs the nerves in your skin? Well, that numbing effect doesn't just happen in your skin. It numbs ALL nerves in the body.

If enough lidocaine makes it to the heart, it can "numb" the nerves in your heart, causing the heart rate to go all screwy.

This is also the reason cocaine is so toxic to the heart. It's numbing just like lidocaine.

it's possible the doctor accidentally injected lidocaine into a vein and it went to his heart, or it's possible he had an allergic reaction, in which case it's not the doctor's fault. But it does happen.

Omg.....and you poor thing. This is gross malpractice. I hope he's better by now. Please don't go back there. Prayers for both of you .

Sounds like he may have damaged the vagus nerve, but it's a longshot guess.

Wow your a lucky man to still be here
But without a history of v-tach I don't think the defibrillator is really necessary. Of course I don't know your full history.

The doctor said after the operation I had a 50 percent chance of surviving the operation.
The first hospital they took me to took 7 hours to diagnose the problem and then send me to another hospital because they couldnt do the operation. They were going to helicopter me to it but the weather was bad.
There they had a team of 6 surgeons waiting to do the operation. Two of them were checking my guts to see if they hadnt gone bad from lack of blood.
It wasnt fun recovering from the surgery.

I think you and your husband should always go to the doctor together and that you should take notes for each other of everything that's done and said.


Just tell the doctor it's so you can be sure to follow doctor's orders correctly and do everything right, just as they say.

These days leaving someone unattended without an advocate in the hospital seems dangerously risky. My mom would not be here today except for all the times my stepfather insisted on her getting the proper care and attention she needed. The nurses would have just let her die, and the doctors would never have figured out how screwed up her prescriptions were.

For blood to have shot over your husband's shoulder the resident would have had to have cut into an artery (only arterial blood, not venous blood, is under high pressure).

The artery the resident cut into could easily have been the carotid artery, the major supplier of freshly oxygenated blood to the brain.

Upon cutting the artery, your husband suddenly lost a lot of blood volume in a very short period of time, which included the immediate blood flow to the brain and optic region. This is why his vision blurred and he lost consciousness.

He didn't die from the mishap because the artery wasn't severed completely, one side of the wall of the vessel was only nicked by the resident's scalpel blade.

At the hospital, he recovered some blood volume and thus some arterial blood pressure and thus began to show an improved heart rate once the body had some time to mend the tear from the inside of the blood vessel wall and stopped leaking blood into the surrounding tissues.

When blood volume is too low, it takes longer for the blood from the upper chambers to fill the larger lower chambers and they must fill for blood to be sent through the lungs and to eject freshly oxygenated blood out through the aorta to the rest of the body.

I also think your husband could have had his vagus nerve shocked by the lidocaine. The vagus nerve serves as a breaking mechanism to reduce heart rate.

The right vagus nerve innervates the sinoatrial node which is the pacemaker of the heart that governs your heart rate.

Lidocaine definitely affects impulse conduction speed in nerve fibers of the vagus nerve and in some fibers can block impulse conduction entirely.

BTW, you should also now that sudden injection of a highly concentrated salt solution into the bloodstream is a common way to euthanize animals by veterinarians.

I would seek an attorney.

Your husband may require delicate arterial vessel wall repair surgery and as soon as can be arranged. If the carotid artery is the artery that was nicked, it is an especially high pressure blood vessel and no repair or poor repair of its wall could allow it to rupture at some future date which could be life-threatening.

RBBB


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Looked this up. Sounds like a good possibility that this is what happened.

It's probably vasovagal. This happens to my wife and son. It's much more probable than the other scenarios mentioned here.