- 期刊
- OpenAccess
Asystole Due to Vagal Reflex in a Patient with Obstructive Sleep Apnea during Anesthesia Intubation with Laryngoscope
摘要
Obstructive sleep apnea (OSA) is a serious sleep disorder. The complications of OSA are respiratory and cardiovascular events, including bradycardia, tachycardia, and even cardiac arrest. A 57-year-old female with OSA was vulnerable to vagal stimulation, developing severe bradycardia and asystole during general anesthesia while undergoing intubation with a conventional direct laryngoscope. This asystole case highlights the fact that anesthetized patients with OSA may experience increased parasympathetic activity (vagal tone) and vagal stimulation with consequent severe bradycardia and asystole. Atropine is recommended to resolve such conditions.
延伸閱讀
- Chen, C. H., Huang, G. S., Lee, C. K., Huang, Y. S., & Wong, C. S. (2003). Use of Laryngeal Mask Airway for the Resuscitation of a Hunter Syndrome Patient during General Anesthesia Induction. Journal of Medical Sciences, 23(6), 351-354. https://www.airitilibrary.com/Article/Detail?DocID=10114564-200312-201305060004-201305060004-351-354
- Lee, S. O., Lin, Y. C., Liao, J. H., Chang, C. J., Li, M. J., & Ho, H. M. (2012). Limitation of the GlideScope during Tracheal Intubation of a Patient with Hemifacial Microsomia. 輔仁醫學期刊, 10(3), 167-172. https://www.airitilibrary.com/Article/Detail?DocID=18102093-201209-201303150033-201303150033-167-172
- You, C. H., Wang, C. C., Yeh, L. R., & Lam, C. F. (2020). Iatrogenic Tracheal Penetrating Injury Following Stylet-Assisted Endotracheal Intubation in a Patient with Goiter. E-Da Medical Journal, 7(3), 19-22. https://doi.org/10.6966/EDMJ.202009_7(3).0004
- Lai, Y. Y., & Ho, H. C. (2006). Total Airway Occlusion in a Parturient with a Mediastinal Mass after Anesthetic Induction-A Case Report. Acta Anaesthesiologica Taiwanica, 44(2), 127-130. https://www.airitilibrary.com/Article/Detail?DocID=02541319-200607-44-2-127-130-a
- S, E., M, A., F, C., & A, B. (2018). An Anesthetic Approach for a Patient with Known Difficult Airway Undergoing an Ommaya Reservoir Placement. International Journal of Anesthesiology & Research (IJAR), 6(4), 520-522. https://doi.org/10.19070/2332-2780-18000104