Bezold–Jarisch reflex occurred in a pediatric patient with giant intra-abdominal teratoma during induction of anesthesia

Yuan, Kaiming; Fu, Shuying; Li, Jun; Shangguan, Wang-Ning; Lian, Qingquan

doi:10.1097/md.0000000000008304

Cited by 3 publications

(2 citation statements)

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“…Chemical substances such as prostaglandin, serotonin, and free radicals are released from the infarct area, causing parasympathetic activity (hypotension and bradyarrhythmia). 6,7 The second hypothesis is the ischemia theory. The AV node is commonly vascularized by RCA or LCx in the predominance of the left coronary artery.…”

Section: Discussionmentioning

confidence: 99%

Reversible total atrioventricular block in a very high-risk non-ST-elevation myocardial infarction (NSTEMI) during conservative treatment in a limited resource setting: a case report

Susanti Mareta Anggraeni,

Ruth Grace Aurora

2024

InaJBCS

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Total atrioventricular (AV) block is the most common type of conduction disorder found in acute coronary syndrome (ACS), which requires timely recognition and treatment. This case report aimed to present conservative medical treatment for managing total AV block (TAVB) in a very high-risk non-ST-elevation myocardial infarction (NSTEMI) in a rural area. We reported a patient with TAVB in a very high-risk NSTEMI. The patient was hemodynamically unstable and needed immediate percutaneous coronary intervention (PCI). Due to limited facilities and difficult access to immediate PCI, the patient was treated conservatively with the NSTEMI protocol. Epinephrine, as a β-adrenergic agonist, was administered to improve hemodynamic status. During conservative treatment, TAVB was converted into the first-degree AV block on the third day of intensive care. In a setting where revascularization strategies and pacemaker implantation are not feasible, administration of antithrombotic agents and β-adrenergic agonists can be considered to manage TAVB with NSTEMI with close monitoring.

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Section: Discussionmentioning

confidence: 99%

Reversible total atrioventricular block in a very high-risk non-ST-elevation myocardial infarction (NSTEMI) during conservative treatment in a limited resource setting: a case report

Susanti Mareta Anggraeni,

Ruth Grace Aurora

2024

InaJBCS

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“…In addition, it triggers the cardiac inhibition reflex, which leads to a reduction in heart rate, blood pressure, and cardiovascular collapse. This reflex is initiated by type C fibers that are situated in the heart (45,46). Activation of peripheral serotonin receptors induces BJRM (47).…”

Section: Discussionmentioning

confidence: 99%

Impact of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis of Randomized Trials

Susanti,

Mixrova Sebayang,

Burhan

2024

JNJ

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Background: The medulla distinguishes nausea and vomiting. Intra-operative nausea and vomiting (IONV) can occur up to 80% of the time following spinal anesthesia for caesarean delivery. Patients are uncomfortable and surgery is halted. Aims: This meta-analysis examines the effects of ondancentron on IONV, hypertension, and pruritus. Methods: The databases examined were CINAHL, PubMed, ScienceDirect, Wiley, and Scopus, with coverage from September 2014 to July 2024. Article text must be complete with Uji Coba Terkendali Acak design and published in English. They used R-Studio 4.3.1 m, Comperhesivif Meta-Analysis 3.3.070, and Review Manager Cochrane 5.4.1 for lunak and risk analysis. Results: The heterogeneity analysis of on- and centron residuals on IONV indicated I-squared (I2) of 99%, hypotension I2=98%, and pruritus I2=97% for 1103 people in thirteen studies. The Random Effect Model revealed a significant positive effect on Standard Mean Difference (SMD) analysis (IONV = 5.77, 95% CI: 0.58, 10.95; p=<0.01), decreased hypotension (SMD = -2.14, 95% CI: -4.80, 0.52= p=<0.01), and pruritus incidence (SMD = 0.67, 95%). CI = -1.48 to 2.83; p < 0.01. The meta regression subgroup revealed a significant decrease in IONV in the first 5 minutes with an Odds Ratio of 0.38 (95%-CI 0.04 to 3.62; p=<0.01) for the 4mg dose. Conclusions: While useful in controlling perioperative and hypotension, ondansentron may exacerbate pruritus. Ondansentron dose and pruritus effects need additional study.

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Cisatracurium besilate/fentanyl/propofol

2017

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Bezold–Jarisch reflex occurred in a pediatric patient with giant intra-abdominal teratoma during induction of anesthesia

Abstract: Supplemental Digital Content is available in the text

Cited by 3 publications

References 14 publications

Reversible total atrioventricular block in a very high-risk non-ST-elevation myocardial infarction (NSTEMI) during conservative treatment in a limited resource setting: a case report

Reversible total atrioventricular block in a very high-risk non-ST-elevation myocardial infarction (NSTEMI) during conservative treatment in a limited resource setting: a case report

Impact of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis of Randomized Trials

Cisatracurium besilate/fentanyl/propofol

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