Severe bradycardia during suspension laryngoscopy performed after tracheal intubation using a direct laryngoscope with a curved blade - A case report -

被引：13
|
作者：
Bin Ko, Hyo [1 ]
Lee, Dong Yeol [1 ]
Lee, Yong Cheol [1 ]
机构：
[1] Keimyung Univ, Sch Med, Dept Anesthesiol & Pain Med, 194 Dongsan Dong, Daegu 700712, South Korea
来源：
KOREAN JOURNAL OF ANESTHESIOLOGY | 2010年 / 59卷 / 02期
关键词：
Bradycardia; Remifentanil; Suspension laryngoscopy; Vagal reflex;
D O I：
10.4097/kjae.2010.59.2.116
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
There are a few reports about bradycardia or asystole caused by direct laryngoscopy. However, we encountered severe bradycardia in response to suspension laryngoscopy for laryngeal polypectomy after safely completing tracheal intubation using a direct laryngoscope with a curved blade. The tip of the curved blade of the direct laryngoscope is positioned at the vallecula (between the base of the tongue and the pharyngeal surface of the epiglottis) during tracheal intubation, while the blade tip of the suspension laryngoscope lifts the laryngeal surface of the epiglottis or supraglottic area during surgery. Therefore, suspension laryngoscopy can be said more vagotonic than curved-blade direct laryngoscopy. Because of the possibility of bradycardia induced by suspension laryngoscopy, clinicians must be careful about severe bradycardia even after safely completing intubation using direct laryngoscopy.
引用
收藏
页码：116 / 118
页数：3
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