Solanki Kinjal M, Lipscomb Tyler, Riveros Perez Efrain, Lennard Lyndon
Anesthesiology, Augusta University Medical College of Georgia, Augusta, USA.
Cureus. 2024 Sep 11;16(9):e69207. doi: 10.7759/cureus.69207. eCollection 2024 Sep.
This case report describes a 27-year-old healthy female patient undergoing bilateral salpingectomy for sterilization who experienced sudden bradycardia following induction with propofol (2, 6 diisopropylphenol) and succinylcholine. Despite lacking prior cardiac issues, the patient's heart rate dropped precipitously, necessitating intervention with glycopyrrolate. This case report highlights the importance of premedication with anticholinergics to prevent bradycardia in similar scenarios, underscoring the need for vigilance and preparedness to manage adverse cardiac events during anesthesia induction, even in patients without evident risk factors.
本病例报告描述了一名27岁健康女性患者,因绝育接受双侧输卵管切除术,在使用丙泊酚(2,6-二异丙基苯酚)和琥珀酰胆碱诱导麻醉后出现突发心动过缓。尽管该患者既往无心脏问题,但心率急剧下降,需要使用格隆溴铵进行干预。本病例报告强调了在类似情况下使用抗胆碱能药物进行术前用药以预防心动过缓的重要性,突显了在麻醉诱导期间即使对没有明显危险因素的患者,也需要保持警惕并做好应对不良心脏事件的准备。