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. 1994;41(1):13–16.

Asystole and bradycardia during maxillofacial surgery.

R Campbell 1, D Rodrigo 1, L Cheung 1
PMCID: PMC2148710  PMID: 8629742

Abstract

A Chinese female undergoing maxillary osteotomy developed asystole when the maxillary tuberosity was cut. Surgery was stopped. After about 10 sec and before instituting cardiac massage, sinus rhythm and bradycardia ensued. Atropine was administered intravenously, resulting in an increase in heart rate. No further episodes of asystole or bradycardia were encountered.

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Selected References

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  1. Bainton R., Barnard N., Wiles J. R., Brice J. Sinus arrest complicating a bitemporal approach to the treatment of pan-facial fractures. Br J Oral Maxillofac Surg. 1990 Apr;28(2):109–110. doi: 10.1016/0266-4356(90)90134-7. [DOI] [PubMed] [Google Scholar]
  2. Bainton R., Lizi E. Cardiac asystole complicating zygomatic arch fracture. Oral Surg Oral Med Oral Pathol. 1987 Jul;64(1):24–25. doi: 10.1016/0030-4220(87)90110-1. [DOI] [PubMed] [Google Scholar]
  3. Barnard N. A., Bainton R. Bradycardia and the trigeminal nerve. J Craniomaxillofac Surg. 1990 Nov;18(8):359–360. doi: 10.1016/s1010-5182(05)80056-3. [DOI] [PubMed] [Google Scholar]
  4. Baxandall M. L., Thorn J. L. The nasocardiac reflex. Anaesthesia. 1988 Jun;43(6):480–481. doi: 10.1111/j.1365-2044.1988.tb06637.x. [DOI] [PubMed] [Google Scholar]
  5. Blanc V. F., Hardy J. F., Milot J., Jacob J. L. The oculocardiac reflex: a graphic and statistical analysis in infants and children. Can Anaesth Soc J. 1983 Jul;30(4):360–369. doi: 10.1007/BF03007858. [DOI] [PubMed] [Google Scholar]
  6. Doyle D. J., Mark P. W. Reflex bradycardia during surgery. Can J Anaesth. 1990 Mar;37(2):219–222. doi: 10.1007/BF03005473. [DOI] [PubMed] [Google Scholar]
  7. Gillespie I. A. Bradycardia during elevation of zygomatic fractures. Anaesthesia. 1988 Jul;43(7):608–609. doi: 10.1111/j.1365-2044.1988.tb06722.x. [DOI] [PubMed] [Google Scholar]
  8. Gomez T. M., Van Gilder J. W. Reflex bradycardia during TMJ arthroscopy: case report. J Oral Maxillofac Surg. 1991 May;49(5):543–544. doi: 10.1016/0278-2391(91)90186-p. [DOI] [PubMed] [Google Scholar]
  9. KIRSCH R. E., SAMET P., KUGEL V., AXELROD S. Electrocardiographic changes during ocular surgery and their prevention by retrobulbar injection. AMA Arch Ophthalmol. 1957 Sep;58(3):348–356. doi: 10.1001/archopht.1957.00940010360005. [DOI] [PubMed] [Google Scholar]
  10. Lang S., Lanigan D. T., van der Wal M. Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex. Can J Anaesth. 1991 Sep;38(6):757–760. doi: 10.1007/BF03008454. [DOI] [PubMed] [Google Scholar]
  11. Loewinger J., Cohen M., Levi E. Bradycardia during elevation of a zygomatic arch fracture. J Oral Maxillofac Surg. 1987 Aug;45(8):710–711. doi: 10.1016/0278-2391(87)90315-6. [DOI] [PubMed] [Google Scholar]
  12. Maryniak J. K., Bishop V. A. Sinus arrest after alfentanil. Br J Anaesth. 1987 Mar;59(3):390–391. doi: 10.1093/bja/59.3.390. [DOI] [PubMed] [Google Scholar]
  13. Mirakhur R. K., Jones C. J., Dundee J. W., Archer D. B. I.m. or i.v. atropine or glycopyrrolate for the prevention of oculocardiac reflex in children undergoing squint surgery. Br J Anaesth. 1982 Oct;54(10):1059–1063. doi: 10.1093/bja/54.10.1059. [DOI] [PubMed] [Google Scholar]
  14. Mirakhur R. K., Shepherd W. F., Jones C. J. Ventilation and the oculocardiac reflex. Prevention of oculocardiac reflex during surgery for squints: role of controlled ventilation and anticholinergic drugs. Anaesthesia. 1986 Aug;41(8):825–828. doi: 10.1111/j.1365-2044.1986.tb13125.x. [DOI] [PubMed] [Google Scholar]
  15. Precious D. S., Skulsky F. G. Cardiac dysrhythmias complicating maxillofacial surgery. Int J Oral Maxillofac Surg. 1990 Oct;19(5):279–282. doi: 10.1016/s0901-5027(05)80420-5. [DOI] [PubMed] [Google Scholar]
  16. Ragno J. R., Jr, Marcoot R. M., Taylor S. E. Asystole during Le Fort I osteotomy. J Oral Maxillofac Surg. 1989 Oct;47(10):1082–1083. doi: 10.1016/0278-2391(89)90186-9. [DOI] [PubMed] [Google Scholar]
  17. Robideaux V. Oculocardiac reflex caused by midface disimpaction. Anesthesiology. 1978 Dec;49(6):433–433. doi: 10.1097/00000542-197812000-00011. [DOI] [PubMed] [Google Scholar]
  18. Russell I. F. Analgesia during labour by continuous infusion epidurals. Anaesthesia. 1988 May;43(5):422–423. doi: 10.1111/j.1365-2044.1988.tb09043.x. [DOI] [PubMed] [Google Scholar]
  19. Shearer E. S., Wenstone R. Bradycardia during elevation of zygomatic fractures. A variation of the oculocardiac reflex. Anaesthesia. 1987 Nov;42(11):1207–1208. doi: 10.1111/j.1365-2044.1987.tb05231.x. [DOI] [PubMed] [Google Scholar]
  20. Stott D. G. Reflex bradycardia in facial surgery. Br J Plast Surg. 1989 Sep;42(5):595–597. doi: 10.1016/0007-1226(89)90053-2. [DOI] [PubMed] [Google Scholar]

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