PT  - JOURNAL ARTICLE
AU  - Ryan J. Kline
AU  - Ky Pham
AU  - Carmen L. Labrie-Brown
AU  - Ken Mancuso
AU  - Paul LeLorier
AU  - James Riopelle
AU  - Alan David Kaye
TI  - Postinduction Paced Pulseless Electrical Activity in a Patient With a History of Oropharyngeal Instrumentation–Induced Reflex Circulatory Collapse
DP  - 2016 Sep 21
TA  - Ochsner Journal
PG  - 315--320
VI  - 16
IP  - 3
4099  - http://www.ochsnerjournal.org/content/16/3/315.short
4100  - http://www.ochsnerjournal.org/content/16/3/315.full
SO  - Ochsner J2016 Sep 21; 16
AB  - Background: Reflex hypotension and bradycardia have been reported to occur following administration of several drugs associated with administration of anesthesia and also following a variety of procedural stimuli.Case Report: A 54-year-old postmenopausal female with a history of asystole associated with sedated upper gastrointestinal endoscopy and post–anesthetic-induction tracheal intubation received advanced cardiac resuscitation after insertion of a temporary transvenous pacemaker failed to prevent pulseless electrical activity. The patient's condition stabilized, and she underwent successful cataract extraction, intraocular lens implantation, and pars plana vitrectomy.Conclusion: Cardiac pacemaker insertion prior to performance of a procedure historically associated with reflex circulatory collapse can be expected to protect a patient from bradycardia but not necessarily hypotension.