Baronos Stamatis, Fong Wayne, Saggese Nicholas P, Luke Jonathan, Ahmed Khaja, Yarmush Joel
From the Department of Anesthesiology, NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.
Department of Oral and Maxillofacial Surgery, Brookdale University Hospital and Medical Center, Brooklyn, NY.
A A Pract. 2019 Apr 1;12(7):249-251. doi: 10.1213/XAA.0000000000000979.
A previously healthy 26-year-old man presented for elective Le Fort I osteotomy, bilateral mandibular osteotomy, and genioplasty. During the intraoperative course, the patient developed sudden bradycardia and asystole on placement of a bite block. Asystole is an extremely rare consequence of the trigeminocardiac reflex, and awareness of this potentially life-threatening complication is pivotal in its management.
一名既往健康的26岁男性因择期行勒福Ⅰ型截骨术、双侧下颌骨截骨术和颏成形术前来就诊。术中,患者在放置咬垫时突然出现心动过缓和心搏停止。心搏停止是三叉神经心反射极为罕见的后果,认识到这种潜在的危及生命的并发症对于其处理至关重要。