Volume 17, Issue 3 (Autumn 2025)
2025, 17(3): 40-44 |
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Amini E, Esmaeili A, Niroomand A. Trigeminocardiac Reflex Followed by the Airway Management: A Case Report. North Khorasan University of Medical Sciences 2025; 17 (3) :40-44
URL: http://journal.nkums.ac.ir/article-1-3263-en.html
URL: http://journal.nkums.ac.ir/article-1-3263-en.html
1- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Department of Anesthesiology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran ,dresmaely8@gmail.com
3- BSc of Anesthesiology, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Department of Anesthesiology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran ,
3- BSc of Anesthesiology, North Khorasan University of Medical Sciences, Bojnurd, Iran
Abstract: (70 Views)
Introduction: The Trigeminocardiac Reflex (TCR) is a brainstem reflex that causes parasympathetic stimulation and subsequent bradycardia. This study aimed to report a case of bradycardia following airway management during general anesthesia, which was hypothesized to be due to TCR.
Case Presentation: A 22-year-old male patient with Left Mandibular Ramus fracture underwent surgery under GA. The patient’s heart rate suddenly dropped during airway management.
Conclusions: It was assumed that the mandibular branch of the trigeminal nerve was stimulated by the anesthesiologist during the Bag-mask ventilation and laryngoscopy; therefore, TCR was activated. After the removal of the stimulation and administration of Atropine, the patient responded appropriately, and no complications were observed
Case Presentation: A 22-year-old male patient with Left Mandibular Ramus fracture underwent surgery under GA. The patient’s heart rate suddenly dropped during airway management.
Conclusions: It was assumed that the mandibular branch of the trigeminal nerve was stimulated by the anesthesiologist during the Bag-mask ventilation and laryngoscopy; therefore, TCR was activated. After the removal of the stimulation and administration of Atropine, the patient responded appropriately, and no complications were observed
Keywords: Airway management, Trigeminocardiac reflex
Type of Study: Case Report |
Subject:
Basic Sciences
Received: 2024/04/23 | Accepted: 2025/02/22 | Published: 2025/09/29
Received: 2024/04/23 | Accepted: 2025/02/22 | Published: 2025/09/29
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