Profound trigeminocardiac reflex from lingual nerve stimulation: a case report
Champion Allen, Masi John,
소속 상세정보
( Champion Allen ) - Thomas Jefferson University Department of Oral and Maxillofacial Surgery
( Masi John ) - Thomas Jefferson University Department of Oral and Maxillofacial Surgery
Abstract
Trigeminocardiac reflex (TCR) is a well-known brainstem reflex that manifests as hypotension, bradycardia, dysrhythmia, and asystole when stimulation is applied to a branch of the trigeminal nerve. Most commonly associated with ophthalmic, orbital, and neurologic surgeries, mandibular division and oral cavity variants occur far less frequently. Here, we describe a case of asystolic TCR elicited by lingual nerve stimulation. This case highlights the role of specific anesthetic medications in modulating this phenomenon and reinforces the need for early recognition and clear communication in case of its occurrence. Anesthesia providers must consider discontinuing or avoiding certain medications when clinically appropriate, even during low TCR-risk procedures.
키워드
Anesthesia, General; Asystole; Reflex, Trigeminocardiac
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