![](/images/graphics-bg.png)
Asystole following Reintubation during Suspension Laryngoscopy
Joint Authors
Brodsky, Melissa
Glassman, Sheryl H.
Green, Michael S.
Source
Case Reports in Anesthesiology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-2, 2 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-26
Country of Publication
Egypt
No. of Pages
2
Main Subjects
Abstract EN
Transient increase in heart rate and mean arterial pressure commonly occur during manipulation of the airway via direct laryngoscopy.
This phenomenon is understood to be due to a sympathetic nervous system reflex causing an increase in plasma catecholamines.
Rarely, severe bradycardia and possible asystole can occur following laryngoscopy.
One previous report described asystole during suspension laryngoscopy after uneventful direct laryngoscopy.
Here we report a case of asystole occurring at the time of reinsertion and cuff inflation of an endotracheal tube in a patient who had been hemodynamically stable during initial direct laryngoscopy and the ensuing suspension laryngoscopy.
The asystole was immediately recognized and successful cardiopulmonary resuscitation was performed with the patient returning to baseline sinus rhythm.
Cardiac arrest following laryngoscopy is rare.
This case highlights the importance of continued vigilance even after the initial manipulations of the airway by both direct laryngoscopy and suspension laryngoscopy are to be performed.
Identifying patients who may benefit from premedication with a vagolytic drug may prevent adversity.
Preoperative heart rate analysis can identify patients with strong vagal tone.
American Psychological Association (APA)
Glassman, Sheryl H.& Green, Michael S.& Brodsky, Melissa. 2012. Asystole following Reintubation during Suspension Laryngoscopy. Case Reports in Anesthesiology،Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-507838
Modern Language Association (MLA)
Glassman, Sheryl H.…[et al.]. Asystole following Reintubation during Suspension Laryngoscopy. Case Reports in Anesthesiology No. 2012 (2012), pp.1-2.
https://search.emarefa.net/detail/BIM-507838
American Medical Association (AMA)
Glassman, Sheryl H.& Green, Michael S.& Brodsky, Melissa. Asystole following Reintubation during Suspension Laryngoscopy. Case Reports in Anesthesiology. 2012. Vol. 2012, no. 2012, pp.1-2.
https://search.emarefa.net/detail/BIM-507838
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507838