Asystole and bradycardia during maxillofacial surgery

Anesth Prog. 1994;41(1):13-6.

Abstract

A Chinese female undergoing maxillary osteotomy developed asystole when the maxillary tuberosity was cut. Surgery was stopped. After about 10 sec and before instituting cardiac massage, sinus rhythm and bradycardia ensued. Atropine was administered intravenously, resulting in an increase in heart rate. No further episodes of asystole or bradycardia were encountered.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Afferent Pathways
  • Anti-Arrhythmia Agents / therapeutic use
  • Atropine / therapeutic use
  • Bradycardia / drug therapy
  • Bradycardia / etiology*
  • Female
  • Heart Arrest / etiology*
  • Heart Arrest / therapy
  • Humans
  • Intraoperative Complications / etiology
  • Intraoperative Complications / therapy
  • Maxilla / innervation
  • Maxilla / surgery
  • Osteotomy / adverse effects*
  • Reflex, Oculocardiac*
  • Trigeminal Nerve / physiology*
  • Vagus Nerve / physiology

Substances

  • Anti-Arrhythmia Agents
  • Atropine