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Repeated ventricular bigeminy by trigeminocardiac reflex despite atropine administration during superficial upper lip surgery: A case report

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World Journal of Clinical Cases 2022年第32期10卷 11967-11973页

作者： Su-Yeon Cho Bo-Hyun Jang Hye-Jin Jeon Dong-Joon Kim Department of Anesthesiology and Pain Medicine Chosun University HospitalGwangju 61453South Korea

BACKGROUND The trigeminocardiac reflex(TCR)is usually caused by an increased parasympathetic tone when pressure or traction is applied to the surrounding tissue of the trigeminal ***,the inexperienced anesthesiologists may have challenges on the management of TCR *** SUMMARY This is the case of an 18-year-old woman diagnosed with hemangioma of the upper *** the operation,about 1 h after surgery started,a constant 1:1 premature ventricular complex was detected,and blood pressure was decreased when approaching the deeper part with more strong traction for exposure of the *** the management of arrhythmias,such as lidocaine and atropine,was injected,arrhythmia induced by surgical stimulation could not be eliminated *** the traction repeated,bradycardia was also repeated,despite injecting additional ***,the anesthesiologist and the surgeon decided to perform the operation only to the extent that the vascular tissue was selectively removed only at the site without the *** With TCR,anesthesiologists should perform appropriate *** addition to proper drug administration,surgeons should be consulted to cope with stopping the surgery and setting the scope of the surgery even if the site is superficial.

关键词： Trigeminocardiac reflex bigeminy Arrhythmia Hypotension Atropine Case report

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