Severe bradycardia and hypotension after connecting negative pressure to the subgaleal drain during craniotomy closure

British Journal of Anaesthesia

Volumn 96, Issue 5, 2006, Pages 608-610

  Karamchandani, K ^a   Chouhan, R S ^a   Bithal, P K ^a   Dash, H H ^a  

^a ALL INDIA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Complications, haemodynamic disturbances; Drainage systems, negative pressure; Drains, subgaleal; Surgery, craniotomy

Indexed keywords

ATROPINE; DIAZEPAM; ENALAPRIL; FENTANYL; GLYCOPYRRONIUM BROMIDE; ISOFLURANE; LIDOCAINE; NITROUS OXIDE; OXYGEN; ROCURONIUM; THIOPENTAL; VECURONIUM;

AGED; ANAMNESIS; ANESTHESIA INDUCTION; ARTICLE; ARTIFICIAL VENTILATION; BRADYCARDIA; BRAIN ARTERY ANEURYSM; CARDIOVASCULAR DISEASE; CASE REPORT; CLINICAL PROTOCOL; CRANIOTOMY; DISEASE SEVERITY; FEMALE; HOSPITAL DISCHARGE; HUMAN; HYPOTENSION; INTENSIVE CARE UNIT; INTRAOPERATIVE PERIOD; NEUROMUSCULAR BLOCKING; POSTOPERATIVE PERIOD; PRESSURE; PRIORITY JOURNAL; SURGICAL DRAINAGE;

EID: 33645879803     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/ael063     Document Type: Article

References (12)

1. Hernandez-Palazon J, Tortosa JA, Sanchez-Bautista S, Martinez-Lage JF, Perez-Flores D. Cardiovascular disturbances caused by extradural negative pressure drainage systems after intracranial surgery. Br J Anaesth 1998; 80: 599-601
2. Jacka M, Wood G. Bradycardia related to sudden decreases in intracranial pressure during craniotomy. Anesth Analg 1994; 78: 1022-3
3. Toledo E, Eynan N, Shalit M. Intracranial hypotension - an iatrogenic complication of vacuum drainage systems. Acta Neurochir 1980; 52: 55-9
4. Wasnick JD, Lien CA, Rubin LA, Frazer RA. Unexplained bradycardia during craniotomy closure: The role of intracranial hypotension. Anesth Analg 1993; 76: 432-3
5. McCullough GAJ, Pattinson WJ. Circulatory changes caused by a closed, negative pressure drainage system after craniotomy. Neurosurgery 1981; 9: 380-2
6. Laurenson VG, MacFarlane M, Davis FM. Negative pressure drainage after craniotomy. Neurosurgery 1985; 17: 868
7. Van Roost DV, Thees C, Brenke C, Oppel F, Winkler PA, Schramm J. Pseudohypoxic brain swelling: A newly defined complication after uneventful brain surgery, probably related to suction drainage. Neurosurgery 2003; 53: 1315-27
8. Alexander JP. Reflex disturbances of cardiac rhythm during ophthalmic surgery. Br J Ophthalmol 1975; 59: 518-24
9. Lang S, Lanigan DT, van der Wal M. Trigeminocardiac reflexes: Maxillary and mandibular variants of the oculocardiac reflex. Can J Anaesth 1991; 38: 757-60
10. Schaller B, Probst R, Strebel S, Gratzl O. Trigeminocardiac reflex during surgery in the cerebellopontine angle. J Neurosurg 1999; 90: 215-20
11. Mirakhur RK, Jones CJ, Dunde JW, Archer DB. I.M. or i.v. atropine or glycopyrrolate for the prevention of oculocardiac reflex in children undergoing squint surgery. Br J Anaesth 1982; 54: 1059-63
12. Hunsley JE, Bush GH, Jones CJ. A study of glycopyrrolate and atropine in the suppression of the oculocardiac reflex during strabismus surgery in children. Br J Anaesth 1982; 54: 459-64