Unexplained Cardiac Arrest During Closure of Craniotomy: Case report and review of literature

J.H. Faraj; T. Sinha; A. Raza; H. Kamel

doi:10.5339/qmj.2008.2.23

ISSN: 0253-8253
E-ISSN: 2227-0426

oa Unexplained Cardiac Arrest During Closure of Craniotomy: Case report and review of literature
المؤلفون: J.H. Faraj¹, T. Sinha¹, A. Raza² and H. Kamel³
عرض الانتماءات إخفاء الانتسابات المهنية

االانتسابات المهنيه ¹ ^*Department of Anesthesia/ICU Pain Management and Palliative Care, Hamad Medical Corporation, Doha, Qatar ² ^**Department of Neurosurgery, Hamad Medical Corporation, Doha, Qatar ³ ^***Department of Radiology, Hamad Medical Corporation, Doha, Qatar
Source: Qatar Medical Journal, Volume 2008, Issue 2, ديسمبر ٢٠٠٨, 23
DOI https://doi.org/10.5339/qmj.2008.2.23
- تاريخ النشر الكترونيا: ٠١ ديسمبر ٢٠٠٨

ملخص

Hypotension and bradycardia after application of suction to a subgaleal drain, or stimulus inside or outside the skull, have been reported in the medical literature. The commonly reported occurrence is stimulation of the Trigeminal nerve along its distribution and is the main factor that sets off the whole reflex arc through the Vagus nerve ending in a series of serious hemodynamic changes that institute severe bradycardia, asystole and severe hypotension. Another less common but possible patho logy caused by a suction drain is Pseudo-Hypoxic Brain Swelling (PHBS). We report a case of transient cardiac arrest after the application of theatre suction to a subgaleal drain at the closure of an uneventful craniotomy and discuss the possibilities as well as review the literature.

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References

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/content/journals/10.5339/qmj.2008.2.23

نوع المستند: Case Report

الموضوعات الرئيسية cardiac arrest, craniotomy, Pseudo Hypoxic Brain Swelling, subgaleal suction and Trigeminocardiac Reflex

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oa Unexplained Cardiac Arrest During Closure of Craniotomy: Case report and review of literature

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