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Canadian Journal of Anesthesia, Vol 37, 219-222, Copyright © 1990 by Canadian Anesthesiologists' Society

ARTICLES

Reflex bradycardia during surgery

DJ Doyle and PW Mark
Department of Anaesthesia, Toronto General Hospital, Ontario.

Reflex bradycardia and sinus arrest may occur in a variety of surgical procedures, from neurosurgery to general abdominal, laparoscopic, ophthalmic and facial surgery and even procedures such as liver biopsies and electroconvulsive therapy. In most cases a vagally-mediated reflex has been implicated, although experimental support for this is often lacking. Drugs such as vecuronium, atracurium, halothane, fentanyl and succinylcholine may predispose to this reflex. Premedication with an anticholinergic is usually effective in preventing its occurrence.


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Copyright © 1990 by the Canadian Anesthesiologists' Society.