Anesthetic management of the trigeminocardiac reflex during mesiodens removal-a case report.
We describe a case in which reflection of a palatal flap for removal of a mesiodens is presented as the triggering factor for bradycardia caused by stimulation of the trigeminocardiac reflex. The management of the case, as well as the reflex arc, is discussed.
Webb
Michael D
MD
Virginia Commonwealth University School of Dentistry, Department of Pediatric Dentistry, Richmond, VA 23298, USA. mdwebb@vcu.edu
Unkel
John H
JH
D000766:Anesthesia, Dental; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001146:Arrhythmia, Sinus / Q000188:drug therapy* / Q000209:etiology; D001285:Atropine / Q000627:therapeutic use*; D001919:Bradycardia / Q000188:drug therapy* / Q000209:etiology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000188:drug therapy*; D012021:Reflex, Abnormal / Q000187:drug effects; D014081:Tooth Extraction; D014096:Tooth, Supernumerary / Q000601:surgery*; D014276:Trigeminal Nerve / Q000187:drug effects; D014630:Vagus Nerve / Q000187:drug effects
D000889:Anti-Arrhythmia Agents; D001285:Atropine