Sinus arrest complicating a bitemporal approach to the treatment of pan-facial fractures.
Two cases are reported in which the treatment of pan-facial fractures via a bi-temporal flap approach was complicated by cessation of activity of the sinuatrial node (sinus arrest). The anatomical, physiological and anaesthetic implications of this potentially fatal complication are discussed.
Bainton
R
R
Department of Anaesthesia, Royal Liverpool Hospital.
Barnard
N
N
Wiles
J R
JR
Brice
J
J
D000328:Adult; D001285:Atropine / Q000627:therapeutic use; D006024:Glycopyrrolate / Q000627:therapeutic use; D006323:Heart Arrest / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008440:Maxillary Fractures / Q000150:complications / Q000601:surgery; D008446:Maxillofacial Injuries / Q000150:complications / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications / Q000601:surgery; D012018:Reflex / Q000502:physiology; D012024:Reflex, Oculocardiac / Q000502:physiology; D013524:Surgical Flaps
D001285:Atropine; D006024:Glycopyrrolate