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アベ ケイコ
Abe Keiko
阿部 佳子 所属 鶴見大学 歯学部 歯学科 歯科麻酔学 職種 准教授 |
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| 論文種別 | 【査読あり】 研究論文（学術雑誌） |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 招待の有無 | 招待あり |
| 表題 | Severe Bradycardia Occurring After Assisted Mouth Opening: A Case Report. |
| 掲載誌名 | 正式名：Anesthesia progress 略 称：Anesth Prog ISSNコード：18787177/00033006 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 69(1),pp.46-48 |
| 著者・共著者 | Yoshio Hayakawa, Keiko Fujii-Abe, Takuya Nakano, Masayuki Suzuki, Hiroshi Kawahara |
| 発行年月 | 2022/04 |
| 概要 | We report a case of severe bradycardia during general anesthesia due to reduced atrioventricular conduction capacity believed to have been caused by the trigeminocardiac reflex (TCR). A 46-year-old woman was scheduled for intraoral scar revision under general anesthesia. When the surgeon opened her mouth intraoperatively, the patient's blood pressure immediately increased, and she developed significant bradycardia and a transient Mobitz type II second-degree atrioventricular block. It was assumed that the mandibular division of the trigeminal nerve (V-3) was stimulated by the surgeon stretching the patient's mouth open while remifentanil simultaneously provided sympatholytic effects, resulting in activation of the TCR. The patient quickly responded well to atropine and had no additional complications. |
| DOI | 10.2344/anpr-68-03-07 |
| PMID | 35377933 |