title: Trigeminocardiac Reflex: A Reappraisal with Relevance to Maxillofacial Surgery.
abstract: OBJECTIVE
  The purpose of this paper was to undertake a review of literature on trigeminocardiac reflex in oral and maxillofacial online data-base and discuss the pathophysiology, risk factor assessment, presentation of the reflex, prevention, management with emphasis on the role of the attending anaesthetist and the maxillofacial surgeon.
  
  
  METHODS
  The available literature relevant to oral and maxillofacial surgery in online data-base of the United States National Library of Medicine: Pubmed (http://www.ncbi.nlm.nih.gov/pubmed/) was searched. The inclusion criterion was to review published clinical papers, abstracts and evidence based reviews on trigeminocardiac reflex relevant to oral and maxillofacial surgery.
  
  
  RESULTS
  Sixty-five articles were found with the search term "trigeminocardiac reflex" in the literature searched. Eighteen articles met the inclusion criteria for this study. The relevant data was extracted, tabulated and reviewed to draw evidence based conclusions for the management of trigeminocardiac reflex.
  
  
  CONCLUSIONS
  Conclusions were drawn and discussed based on the reviewed maxillofacial literature with emphasis on the anaesthetist's and the surgeon's role in the management of this detrimental event in maxillofacial surgical practice.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Peoples College of Dental Sciences and Research Center, Peoples University, Bhanpur, Bhopal, M.P. India.
authors.forename: Darpan
authors.initials: D
authors.lastname: Bhargava
authors.affiliation: Department of Oral and Maxillofacial Surgery, Peoples College of Dental Sciences and Research Center, Peoples University, Bhanpur, Bhopal, M.P. India.
authors.forename: Shaji
authors.initials: S
authors.lastname: Thomas
authors.affiliation: Department of Anesthesiology, L.N Medical College and Research Center and J.K Hospital, J.K Town, Sarvdharm C-Sector, Kolar Road, Bhopal, M.P. India.
authors.forename: Nupur
authors.initials: N
authors.lastname: Chakravorty
authors.affiliation: Department of Oral and Maxillofacial Surgery, Peoples College of Dental Sciences and Research Center, Peoples University, Bhanpur, Bhopal, M.P. India.
authors.forename: Ashutosh
authors.initials: A
authors.lastname: Dutt
keywords: Achener phenomenon; Bradycardia; Maxillofacial surgery; Oculocardiac reflex; Trigemino-vagal reflex; Trigeminocardiac reflex; Vagus induced bradycardia