Abstract
In Response: We thank Dr. Sharrock for his comment regarding our case report. His conclusions that severe hypovolemia existed and that extended monitoring is recommended is in agreement with our explanations [1]. Concerning the vasopressors, we would point out that immediately after the first injection of the local anesthetic, epinephrine 1-4 [micro sign]g/min was given continuously until the cardiac arrest [1]. The additional administration of isoproterenol and boluses of epinephrine was given according to the recommendation of Sharrock and Salvati, who wrote, "if heart rates are less than 55 bpm, one should increase the dose of epinephrine or add isoproterenol." [2]. Thomas Heidegger, MD Georg Kreienbubl, MD Department of Anesthesiology; Kantonsspital St. Gallen, Switzerland
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