颞下颌关节重建过程中出现心动过缓和心搏停止。

Bradycardia and asystole during temporomandibular joint reconstruction.

机构信息

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, USA.

Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

出版信息

Paediatr Anaesth. 2020 Oct;30(10):1146-1148. doi: 10.1111/pan.13984. Epub 2020 Aug 29.

DOI:10.1111/pan.13984

PMID:32741014

Abstract

Anesthesia providers are familiar with the oculocardiac reflex, one type of trigeminocardiac reflex. While less common, arrhythmias associated with manipulation of other trigeminal nerve branches can occur. We report the presentation and management of bradycardia and asystole from stimulation of the mandibular branch of the trigeminal nerve during temporomandibular joint reconstruction.

摘要

麻醉师熟悉眼心反射，这是一种三叉心反射。虽然不太常见，但与其他三叉神经分支操作相关的心律失常也可能发生。我们报告了在进行颞下颌关节重建期间，由于三叉神经下颌支受到刺激而导致的心动过缓和心搏停止的表现和处理方法。