Bradycardia during intra‐abdominal surgery

Coventry, D.M.; McMenemin, Ian M.; Lawrie, Sophie

doi:10.1111/j.1365-2044.1987.tb04106.x

Cited by 15 publications

(6 citation statements)

References 26 publications

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“…A 2007 report of 92 gynecological surgical patients receiving fentanyl, halothane, and vecuronium for major abdominal surgery reported that 18% experienced bradycardia. 1 A 2002 report from Thailand reported bradycardia in 10 of 60 patients (16.6%) having surgical repair of congenital cardiac defects. 2…”

Section: Discussionmentioning

confidence: 99%

Case report of severe bradycardia due to transdermal fentanyl

Hawley

2013

Palliat Med

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Section: Discussionmentioning

confidence: 99%

Case report of severe bradycardia due to transdermal fentanyl

Hawley

2013

Palliat Med

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“…[ 10 , 12 , 14 ] Moreover, anticholinergic administration prior to surgery might prevent vagal overstimulation during surgery that causes severe bradycardia. [ 11 – 13 ] However, its routine use as a premedication for general anesthesia has been questioned for several reasons. First, irritation of the airway by the anesthetic gas is no longer a concern due to modern anesthetic techniques.…”

Section: Discussionmentioning

confidence: 99%

Does glycopyrrolate premedication facilitate tracheal intubation with a rigid video-stylet?

et al. 2018

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Background:A rigid video-stylet intubation device provides safe and accurate access to the trachea by enabling visualization of the airway structures during tracheal intubation. The primary purpose of this study was to examine the effects of glycopyrrolate premedication on tracheal intubation with a rigid video-stylet.Methods:In this prospective, randomized, double-blinded study, 78 patients were randomly assigned to the control group (n = 39; no glycopyrrolate administration) or the glycopyrrolate group (n = 39; 0.005 mg/kg glycopyrrolate, intramuscular injection). A rigid video-stylet was used for tracheal intubation. The degree of oral secretion observed through the video-stylet monitor was assessed using the OptiScope laryngeal view and graded on a 4-point scale (1, excellent; 2, good; 3, poor; and 4, unacceptable). The time to intubation and hemodynamic variables at baseline and 1, 3, and 5 minutes after intubation were recorded.Results:The OptiScope laryngeal view grades of the glycopyrrolate group (grade 1 = 16 [41.0%], 2 = 17 [43.6%], 3 = 6 [15.4%], and 4 = 0 [0%]) were significantly higher than those of the control group (grade 1 = 9 [23.1%], 2 = 11 [28.2%], 3 = 18 [46.2%], and 4 = 1 [2.6%]; P = .02). The intubation time was shorter in the glycopyrrolate group (18.5 seconds [15.0–22.0]) than the control group (22.0 seconds [17.9–26.4], P = .02). There was no significant difference in the hemodynamic variables between groups.Conclusion:Glycopyrrolate facilitated tracheal intubation with a rigid video-stylet by decreasing oral secretions and providing better visualization and faster intubation with hemodynamic stability.Trial registry:www.clinicaltrials.gov; Identifier: NCT03050242.

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“…9,10 Anticholinergic agents such as glycopyrrolate and atropine are indicated in the treatment of perioperative bradyarrhythmia. 11,12 There is evidence that administration of anticholinergic agents in open abdominal or gynaecological surgery, given intravenously prior to induction of general anaesthesia, is effective in the prevention of bradycardia 13 However, their role in the prevention of bradycardia as a result of insufflation of the peritoneum in gynaecological surgery is less defined.…”

Section: Introductionmentioning

confidence: 99%

The role of anticholinergic medication in the prevention of bradycardia during laparoscopic gynaecological surgery

Steer

Ozcan

Emeto

2019

Aust NZ J Obst Gynaeco

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Bradycardia and cardiac arrest are recognised complications of laparoscopic gynaecological surgery. Anticholinergic agents are indicated in the treatment of perioperative bradyarrhythmia; however, their role in the prevention of bradycardia as a result of insufflation of the peritoneum is less well defined. This article systematically reviewed the literature with respect to the role of anticholinergic agents in the prevention of clinically significant bradyarrhythmia during laparoscopic gynaecological surgery. Eight studies were included for review following an extensive database search. This review highlights the paucity of evidence supporting the prophylactic use of anticholinergic agents in preventing clinically significant bradycardia in women undergoing laparoscopic gynaecological surgery.

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Bradycardia during intra‐abdominal surgery

Abstract: SummaryThe aim of the present study was to examine, in a double-blind, randomised

Cited by 15 publications

References 26 publications

Case report of severe bradycardia due to transdermal fentanyl

Case report of severe bradycardia due to transdermal fentanyl

Does glycopyrrolate premedication facilitate tracheal intubation with a rigid video-stylet?

The role of anticholinergic medication in the prevention of bradycardia during laparoscopic gynaecological surgery

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