A case of sinus arrest caused by opening the mouth under general anesthesia.
We report a case in which transient sinus arrest was observed under general anesthesia. This was associated with opening the mouth and was thought to be caused by a trigeminovagal reflex. The reflex was interrupted by blocking bilaterally the third division of trigeminal nerve.
Seo
K
K
Department of Dental Anesthesia, Niigata University Dental Hospital, Japan.
Takayama
H
H
Araya
Y
Y
Miura
K
K
Someya
G
G
D000293:Adolescent; D000344:Afferent Pathways; D000768:Anesthesia, General / Q000009:adverse effects*; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D004737:Enflurane; D005260:Female; D005283:Fentanyl; D006323:Heart Arrest / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007431:Intraoperative Complications / Q000188:drug therapy; D008012:Lidocaine / Q000627:therapeutic use; D008334:Mandible / Q000601:surgery; D009055:Mouth / Q000503:physiopathology*; D009407:Nerve Block / Q000379:methods; D010027:Osteotomy / Q000379:methods; D012024:Reflex, Oculocardiac; D014276:Trigeminal Nerve / Q000187:drug effects / Q000502:physiology; D014630:Vagus Nerve / Q000187:drug effects / Q000502:physiology
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D004737:Enflurane; D008012:Lidocaine; D005283:Fentanyl