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  • 标题:Severe bradycardia during suspension laryngoscopy performed after tracheal intubation using a direct laryngoscope with a curved blade -A case report-
  • 本地全文:下载
  • 作者:Ko, Hyo Bin ; Lee, Dong Yeol ; Lee, Yong Cheol
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:2010
  • 卷号:59
  • 期号:2
  • 页码:116-118
  • DOI:10.4097/kjae.2010.59.2.116
  • 语种:English
  • 出版社:The Korean Society of Anesthesiologists,
  • 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.

  • 关键词:bradycardia; remifentanil; Suspension laryngoscopy; Vagal reflex
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