title: Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report.
abstract: Central anticholinergic syndrome (CAS) following general anesthesia (GA) is a well known syndrome in children and adults. Many cases of CAS have been previously reported in the literature. However, there are only two reports of post resuscitation CAS after administration of small doses of atropine. Hereby, we report a case of CAS in a child undergoing complete dental restoration under GA after receiving a small dose of atropine to reverse hypoxia induced bradycardia. Intraoperative events such as hypoxia or cardiac arrest may play a role as triggers for CAS. However, we cannot establish a causal relationship between the occurrence of CAS and such critical events.
authors: Associate Professor, Department of Anesthesia, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Mohamad
authors: M
authors: Gharavifard
authors: Assistant Professor, Department of Anesthesia, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
authors: Majid
authors: M
authors: Razavi
authors: Associate Professor, Dental Research Center Dentistry Research Institute, Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
authors: Mehdi
authors: M
authors: Ghandehari Motlagh
authors: Assistant Professor, Department of Anesthesia, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
authors: Mohsen
authors: M
authors: Ziyaeifard
keywords: Atropine, Pediatric; Bradycardia; Central anticholinergic syndrome; Hypoxia
references: J Clin Anesth. 2006 Aug;18(5):399-400
references: 16905092
references: Anesth Analg. 2004 Nov;99(5):1376-8; table of contents
references: 15502033
references: Am J Ther. 2004 Mar-Apr;11(2):144-53
references: 14999367
references: Resuscitation. 2004 Apr;61(1):101-2
references: 15081189
references: Tidsskr Nor Laegeforen. 2013 Nov 12;133(21):2238-9
references: 24226327
references: Eur J Anaesthesiol. 1997 Jan;14(1):1-2
references: 9049550
references: Curr Drug Saf. 2012 Feb;7(1):35-6
references: 22663956
references: Eur J Anaesthesiol. 2008 Jan;25(1):37-42
references: 17655781
references: Acta Anaesthesiol Scand. 2002 Feb;46(2):224-6
references: 11942877
references: Nurse Anesth. 1992 Sep;3(3):121-4
references: 1445954