title: I-gel saves the day: Bradycardia and apnea in a patient undergoing burr hole and evacuation for a subdural hematoma under scalp block.
abstract: Awake craniotomy is generally performed in scalped block, although it is safe, but this procedure can sometimes produce severe hemodynamic disturbances. Here, we reported a case of 32-year-old male, who came for burr hole and during the craniotomy performed under scalped block developed bradycardia and became apneic as manifested by the absence of ETCO2 and no chest excursions. An I-gel was inserted rather than intubating the patient and the case was managed very well and which showed the importance of supraglottic airway devices in our day to day practice.
authors.affiliation: Department of Anesthesiology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.
authors.forename: Raj Bahadur
authors.initials: RB
authors.lastname: Singh
authors.affiliation: Department of Anesthesiology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.
authors.forename: Mohd Meesam
authors.initials: MM
authors.lastname: Rizvi
authors.affiliation: Department of Anesthesiology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.
authors.forename: Mohd Asim
authors.initials: MA
authors.lastname: Rasheed
authors.affiliation: Department of Anesthesiology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.
authors.forename: Arindam
authors.initials: A
authors.lastname: Sarkar
keywords: Apnea; I-gel; craniotomy; scalp nerves block; trigemino-cardiac reflex