Profound trigeminocardiac reflex from lingual nerve stimulation: a case report.
Publication/Presentation Date
2-1-2022
Abstract
Trigeminocardiac reflex (TCR) is a well-known brainstem reflex that manifests as hypotension, bradycardia, dysrhythmia, and asystole when stimulation is applied to a branch of the trigeminal nerve. Most commonly associated with ophthalmic, orbital, and neurologic surgeries, mandibular division and oral cavity variants occur far less frequently. Here, we describe a case of asystolic TCR elicited by lingual nerve stimulation. This case highlights the role of specific anesthetic medications in modulating this phenomenon and reinforces the need for early recognition and clear communication in case of its occurrence. Anesthesia providers must consider discontinuing or avoiding certain medications when clinically appropriate, even during low TCR-risk procedures.
Volume
22
Issue
1
First Page
61
Last Page
65
ISSN
2383-9309
Published In/Presented At
Champion, A., & Masi, J. (2022). Profound trigeminocardiac reflex from lingual nerve stimulation: a case report. Journal of dental anesthesia and pain medicine, 22(1), 61–65. https://doi.org/10.17245/jdapm.2022.22.1.61
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
35169621
Department(s)
Administration and Leadership
Document Type
Article