Abstract
We report a case in which transient sinus arrest was observed under general anesthesia. This was associated with opening the mouth and was thought to be caused by a trigeminovagal reflex. The reflex was interrupted by blocking bilaterally the third division of trigeminal nerve.
MeSH terms
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Adolescent
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Afferent Pathways
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Anesthesia, General / adverse effects*
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Anesthetics, Inhalation
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Anesthetics, Intravenous
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Enflurane
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Female
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Fentanyl
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Heart Arrest / etiology*
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Heart Arrest / therapy
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Humans
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Intraoperative Complications / drug therapy
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Lidocaine / therapeutic use
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Mandible / surgery
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Mouth / physiopathology*
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Nerve Block / methods
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Osteotomy / methods
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Reflex, Oculocardiac*
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Trigeminal Nerve / drug effects
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Trigeminal Nerve / physiology
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Vagus Nerve / drug effects
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Vagus Nerve / physiology
Substances
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Anesthetics, Inhalation
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Anesthetics, Intravenous
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Enflurane
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Lidocaine
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Fentanyl