Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex

Lang, Scott A.; Lanigan, Dennis T.; Wal, Mike van der

doi:10.1007/bf03008454

Cited by 204 publications

(182 citation statements)

References 14 publications

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“…Though most authors concede to the fact that trigeminal cardiac response is a transient response to manipulation of the trigeminal nerve, which recovers on cessation of the stimulus [8,21], there are numerous reports of severe bradycardia and asystole, where the additional administration of anticholinergic agents is warranted. The use of intravenous atropine/glycopyrollate has been advocated.…”

Section: Maxillofacial Surgery and Trigeminocardiac Reflexmentioning

confidence: 99%

Trigeminocardiac Reflex: A Reappraisal with Relevance to Maxillofacial Surgery

Bhargava

Thomas

Chakravorty

et al. 2013

J. Maxillofac. Oral Surg.

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Purpose The purpose of this paper was to undertake a review of literature on trigeminocardiac reflex in oral and maxillofacial online data-base and discuss the pathophysiology, risk factor assessment, presentation of the reflex, prevention, management with emphasis on the role of the attending anaesthetist and the maxillofacial surgeon. Materials and Methods The available literature relevant to oral and maxillofacial surgery in online data-base of the United States National Library of Medicine: Pubmed (http://www.ncbi.nlm.nih.gov/pubmed/) was searched. The inclusion criterion was to review published clinical papers, abstracts and evidence based reviews on trigeminocardiac reflex relevant to oral and maxillofacial surgery. Results Sixty-five articles were found with the search term ''trigeminocardiac reflex'' in the literature searched. Eighteen articles met the inclusion criteria for this study. The relevant data was extracted, tabulated and reviewed to draw evidence based conclusions for the management of trigeminocardiac reflex. Conclusions Conclusions were drawn and discussed based on the reviewed maxillofacial literature with emphasis on the anaesthetist's and the surgeon's role in the management of this detrimental event in maxillofacial surgical practice.

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Section: Maxillofacial Surgery and Trigeminocardiac Reflexmentioning

confidence: 99%

Trigeminocardiac Reflex: A Reappraisal with Relevance to Maxillofacial Surgery

Bhargava

Thomas

Chakravorty

et al. 2013

J. Maxillofac. Oral Surg.

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show abstract

“…Atropine and removal of nasal packing were anecdotally successful in terminating a TCR during rhinoplasty [10]. While the bulk of TCR has been described in relation to pediatric strabismus surgery [5,11], it has also been documented during endoscopic sinus, craniofacial, and skull base surgeries [12][13][14][15][16]. In 1999, Schaller et al were the first to describe the TCR during a neurosurgical procedure.…”

Section: Discussionmentioning

confidence: 99%

Trigeminocardiac Reflex after Direct Infusion of Chemotherapy into the Ophthalmic Artery for Retinoblastoma

Gaynor¹

2014

J Clin Exp Ophthalmol

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Introduction: Direct intra-ophthalmic artery infusion of chemotherapy has emerged as a front-line treatment modality for both early and advanced forms of retinoblastoma. The procedure has become common practice for neurointerventionalists at institutions with major ophthalmology centers. We present a case series of patients who manifest an autonomic reaction of acute hypoxemia, hypocapnia, hypotension, and bronchospasm consistent with trigeminocardiac reflex. We report our experience with this reaction, which is commonly seen during pediatric strabismus surgery but until now, rarely seen in the neuroangiography suite.

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“…Manipulation of any central or peripheral structure innervated by the trigeminal nerve can result in a vagally mediated, parasympathetic response. Published examples include asystole after puncture of the cavernous sinus during embolization [7], bradycardia following orbital floor fractures without EOM entrapment [8], complete atrioventricular block after zygomatic fracture [9], and repeated asystole during mandibular advancement surgery [1].…”

Section: Discussionmentioning

confidence: 99%

“…The afferent loop of the OCR pathway involves the ophthalmic division of the trigeminal nerve with the efferent loop as the vagus nerve [1]. OCR incidence is difficult to establish as the definition is inconsistent and patient susceptibility varies according to surgical and anesthetic technique.…”

Section: Introductionmentioning

confidence: 99%

Asystole during Vitrectomy Secondary to Increasing Intraocular Infusion Pressure Transmitted via Sclerotomy Infusion Cannula

Noord¹

2012

J Anesthe Clinic Res

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Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex

Cited by 204 publications

References 14 publications

Trigeminocardiac Reflex: A Reappraisal with Relevance to Maxillofacial Surgery

Trigeminocardiac Reflex: A Reappraisal with Relevance to Maxillofacial Surgery

Trigeminocardiac Reflex after Direct Infusion of Chemotherapy into the Ophthalmic Artery for Retinoblastoma

Asystole during Vitrectomy Secondary to Increasing Intraocular Infusion Pressure Transmitted via Sclerotomy Infusion Cannula

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