Larsen M C, Soni U K
Department of Anaesthesiology Horsens Regional Hospital Horsens Denmark.
Anaesth Rep. 2024 Nov 4;12(2):e12332. doi: 10.1002/anr3.12332. eCollection 2024 Jul-Dec.
A 67-year-old woman with no history of cardiovascular disease, undergoing an elective laparoscopic cholecystectomy, experienced severe bradycardia and cardiac arrest immediately following an alveolar recruitment manoeuvre under general anaesthesia. Prompt cardiopulmonary resuscitation restored cardiac output within 2-3 min. Postoperatively, she remained stable and was discharged following 24 h of monitoring. The cardiac arrest was likely triggered by vagal nerve stimulation and activation of intrinsic cardiac reflexes by the alveolar recruitment manoeuvre. The event emphasises a rare, but significant, risk of the routine management of pulmonary atelectasis.
一名67岁无心血管疾病史的女性，正在接受择期腹腔镜胆囊切除术，在全身麻醉下进行肺泡复张手法后立即出现严重心动过缓和心脏骤停。迅速的心肺复苏在2至3分钟内恢复了心输出量。术后，她保持稳定，经过24小时监测后出院。心脏骤停可能是由肺泡复张手法刺激迷走神经并激活心脏内在反射触发的。该事件强调了肺不张常规处理中一种罕见但重要的风险。
