Justi Cassettari Arthur, Campos E Santos Érica Cristina, Semenzati Graziela Oliveira, Crespo Agrício Nubiato
Otorhinolaryngology Resident at the Department of Otorhinolaryngology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.
Laryngology Fellowship at the Department of Otorhinolaryngology, Faculty of Medical Sciences, UNICAMP, Campinas, Brazil.
Case Rep Otolaryngol. 2020 Jan 22;2020:9260564. doi: 10.1155/2020/9260564. eCollection 2020.
Transoral laryngeal procedures are considered minimally invasive but may trigger important complications such as severe bradycardia and even asystole mediated by vagal reflex. The literature on this subject is rare. This article aims to review the literature, explain associated mechanisms, establish prophylactic strategies, and highlight the importance of intraoperative safety protocols.
经口喉部手术被认为是微创的,但可能引发重要并发症,如由迷走神经反射介导的严重心动过缓甚至心搏停止。关于这一主题的文献很少。本文旨在回顾文献,解释相关机制,制定预防策略,并强调术中安全协议的重要性。