Cardiac arrest during alveolar recruitment manoeuvre under general anaesthesia for laparoscopic surgery

IF 0.8 Q3 ANESTHESIOLOGY Anaesthesia reports Pub Date : 2024-11-04 DOI:10.1002/anr3.12332
M. C. Larsen, U. K. Soni
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引用次数: 0

Abstract

A 67-year-old woman with no history of cardiovascular disease, undergoing an elective laparoscopic cholecystectomy, experienced severe bradycardia and cardiac arrest immediately following an alveolar recruitment manoeuvre under general anaesthesia. Prompt cardiopulmonary resuscitation restored cardiac output within 2–3 min. Postoperatively, she remained stable and was discharged following 24 h of monitoring. The cardiac arrest was likely triggered by vagal nerve stimulation and activation of intrinsic cardiac reflexes by the alveolar recruitment manoeuvre. The event emphasises a rare, but significant, risk of the routine management of pulmonary atelectasis.

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腹腔镜手术全身麻醉下进行肺泡扩张操作时心脏骤停
一名没有心血管疾病史的 67 岁女性在接受择期腹腔镜胆囊切除术时,在全身麻醉下进行肺泡扩张操作后立即出现严重心动过缓和心跳骤停。及时的心肺复苏在 2-3 分钟内恢复了心输出量。术后,她的病情保持稳定,经过 24 小时的监护后出院。心脏骤停很可能是由于迷走神经受到刺激以及肺泡募集动作激活了心脏固有反射而引发的。该事件强调了常规肺不张治疗的一个罕见但重大的风险。
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