Avoidance and management of trigeminocardiac reflex complicating awake-craniotomy

• Published in: Clinical neurology and neurosurgery Vol. 110; no. 10; pp. 1064 - 1067
• Main Authors: Prabhu, Vikram C, Bamber, Norman I, Shea, John F, Jellish, W. Scott
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier B.V 01.12.2008; Elsevier Science; Elsevier Limited
• Subjects: Aged; Awake-craniotomy; Biological and medical sciences; Bradycardia - etiology; Bradycardia - physiopathology; Bradycardia - therapy; Craniotomy - adverse effects; Craniotomy - methods; Humans; Intraoperative Complications - etiology; Intraoperative Complications - physiopathology; Intraoperative Complications - therapy; Male; Medical sciences; Neurology; Neurosurgery; Parasympathetic responses; Reflex - physiology; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Topical anesthetic; Trigeminal nerve; Trigeminal Nerve - physiology; Trigeminocardiac reflex; Vagal nerve; Vagus Nerve - physiology; Parasympathetic responses; Trigeminocardiac reflex; Trigeminal nerve; Awake-craniotomy; Vagal nerve; Topical anesthetic; Local administration; Nervous system diseases; Clinical management; Anesthetic; Surgery; Craniotomy

Abstract The trigeminocardiac reflex occurs from manipulation or stimulation of peripheral branches or the central component of the trigeminal nerve and consists of bradycardia, hypotension, apnea, and increased gastric motility. The efferent limb of the response is mediated by the vagus nerve. This...