Abstract
Reflex bradycardia and sinus arrest may occur in a variety of surgical procedures, from neurosurgery to general abdominal, laparoscopic, opthalmic and facial surgery and even procedures such as liver biopsies and electroconvulsive therapy. In most cases a vagallymediated reflex has been implicated, although experimental support for this is often lacking. Drugs such as vecuronium, atracurium, halothane, fentanyl and succinylcholine may predispose to this reflex. Premedication with an anticholinergic is usually effective in preventing its occurrence.
Résumé
Une bradycardie réflexe et/ou un arrêt sinusal peuvent survenir lors de tout un éventail d’interventions allant de la neurochirurgie à la chirurgie abdominale, laparoscopique, ophtalmique et faciale en passant par la biopsie du foie et les électrochocs. Malgré l’absence de confirmation expérimental solide, on a souvent insisté sur le rôle du nerf vague dans cé réflexe. On sait qu’entre autres, le vécuronium, l’atracurium, l’halothane, le fentanyl et la succinylcholine peuvent en favoriser l’apparition, alors qu’un anticholinergique en prémédication pourra habituellement le prévenir.
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Doyle, D.J., Mark, P.W.S. Reflex bradycardia during surgery. Can J Anaesth 37, 219–222 (1990). https://doi.org/10.1007/BF03005473
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DOI: https://doi.org/10.1007/BF03005473