title: Severe bradycardia associated with suspension laryngoscopy.
abstract: Suspension laryngoscopy is one of the most common procedures performed for visualizing and diagnosing diseases of the larynx. A relatively uncommon yet potentially life-threatening complication is that of severe bradycardia or asystole during manipulation of the larynx. This case report highlights the occurrence of this complication during a routine removal of a true vocal fold lesion at a tertiary medical center and discusses the potential pathophysiological mechanisms and proposed management options for this phenomenon.
authors.affiliation: Department of Otolaryngology, Vanderbilt School of Medicine, Nashville, Tennessee, U.S.A.
authors.forename: Richard F
authors.initials: RF
authors.lastname: Latuska
authors.affiliation: Department of Otolaryngology, Vanderbilt School of Medicine, Nashville, Tennessee, U.S.A.
authors.forename: Nicholas O
authors.initials: NO
authors.lastname: Kuhl
authors.affiliation: Department of Otolaryngology, Vanderbilt School of Medicine, Nashville, Tennessee, U.S.A.
authors.forename: C Gaelyn
authors.initials: CG
authors.lastname: Garrett
authors.affiliation: Department of Anesthesiology, Vanderbilt School of Medicine, Nashville, Tennessee, U.S.A.
authors.forename: James M
authors.initials: JM
authors.lastname: Berry
authors.affiliation: Department of Otolaryngology, Vanderbilt School of Medicine, Nashville, Tennessee, U.S.A.
authors.forename: Alexander
authors.initials: A
authors.lastname: Gelbard
mesh_terms: D001919:Bradycardia / Q000209:etiology*; D006801:Humans; D007828:Laryngoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged
keywords: Intubation; carotid sinus; laryngoscope; suspension laryngoscopy