title: [Case report of cardiac arrest during carotid body tumor resection].
abstract: We report a case of 30-second cardiac arrest that occurred during carotid body tumor resection due to the carotid sinus reflex. The patient was a 20-year-old man diagnosed with a carotid body tumor and scheduled for tumor resection. General anesthesia was induced and maintained with target controlled infusion of propofol. Analgesia was achieved with continuous administration of remifentanil. When the surgery was initiated, 1% lidocaine 3 ml was locally injected into the carotid bifurcation. When surgery was initiated in the neck region, the patient developed sudden cardiac arrest. Chest compression was immediately initiated, and atropine 0.5 mg was administered; subsequently circulation was restored. Surgery was resumed after placing a temporary pacemaker through the left subclavian vein. The surgery was successfully performed without any other bradycardia complications, and the patient recovered from general anesthesia without sequelae. Thus, the findings indicate the importance of considering the pacemaker placement before carotid body tumor resection.
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Onodera
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Kanda
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kurosawa
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Kunisawa
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Akihiro
authors.initials: A
authors.lastname: Suzuki
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Osamu
authors.initials: O
authors.lastname: Takahata
authors.affiliation: Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Asahikawa 078-8510.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iwasaki
mesh_terms: D000328:Adult; D000768:Anesthesia, General; D001285:Atropine / Q000008:administration & dosage; D002345:Carotid Body Tumor / Q000601:surgery*; D002346:Carotid Sinus / Q000503:physiopathology; D035641:Chest Wall Oscillation; D006323:Heart Arrest / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D008297:Male; D010138:Pacemaker, Artificial; D015742:Propofol; D012018:Reflex / Q000502:physiology; D055815:Young Adult
chemical_list: D001285:Atropine; D015742:Propofol