title: Sinus arrest complicating a bitemporal approach to the treatment of pan-facial fractures.
abstract: 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.
authors.affiliation: Department of Anaesthesia, Royal Liverpool Hospital.
authors.forename: R
authors.initials: R
authors.lastname: Bainton
authors.forename: N
authors.initials: N
authors.lastname: Barnard
authors.forename: J R
authors.initials: JR
authors.lastname: Wiles
authors.forename: J
authors.initials: J
authors.lastname: Brice
mesh_terms: 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
chemical_list: D001285:Atropine; D006024:Glycopyrrolate