Sinus arrest induced by trivial nasal stimulation during alfentanil-nitrous oxide anaesthesia.

Bailey, P L · Br J Anaesth · 1990

case_report · Level V

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Abstract

A case is reported of bradycardia and sinus arrest induced by insertion of a nasal temperature probe. Other possible causes of bradycardia and sinus arrest under anaesthesia are reviewed briefly. Evidence for the neurological basis of a nasocardiac reflex, similar to the oculocardiac reflex, is presented. A minor, trivial stimulus may elicit this reflex.

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