RT Journal Article
SR Electronic
T1 Postinduction Paced Pulseless Electrical Activity in a Patient With a History of Oropharyngeal Instrumentation–Induced Reflex Circulatory Collapse
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 315
OP 320
VO 16
IS 3
A1 Ryan J. Kline
A1 Ky Pham
A1 Carmen L. Labrie-Brown
A1 Ken Mancuso
A1 Paul LeLorier
A1 James Riopelle
A1 Alan David Kaye
YR 2016
UL http://www.ochsnerjournal.org/content/16/3/315.abstract
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.