From the Department of Anesthesiology, Northwestern University, Chicago, Illinois.
A A Pract. 2021 Aug 12;15(8):e01508. doi: 10.1213/XAA.0000000000001508.
The trigeminocardiac reflex (TCR) is triggered by stimulation of a branch of the trigeminal nerve and results in vagally mediated bradycardia, hypotension, apnea, and gastrointestinal hypermotility. In the operating theatre, patients susceptible to TCR are typically under general anesthesia; thus, cardiac abnormalities are the most common manifestation. Our case highlights the less common intraoperative manifestations of gastric hypermotility and apnea in a patient undergoing awake craniotomy for tumor resection. Prompt recognition, removal of stimuli, and airway management prevented catastrophic complications while facilitating completion of the procedure.
三叉心反射（TCR）是由三叉神经的分支刺激引起的，导致迷走神经介导的心动过缓、低血压、呼吸暂停和胃肠道高动力。在手术室中，易发生 TCR 的患者通常处于全身麻醉下；因此，心脏异常是最常见的表现。我们的病例突出了在接受清醒开颅手术切除肿瘤的患者中，TCR 术中较为少见的胃高动力和呼吸暂停表现。及时识别、去除刺激和气道管理防止了灾难性并发症的发生，同时也有助于完成手术。
