Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report.
Central anticholinergic syndrome (CAS) following general anesthesia (GA) is a well known syndrome in children and adults. Many cases of CAS have been previously reported in the literature. However, there are only two reports of post resuscitation CAS after administration of small doses of atropine....
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Tehran University of Medical Sciences
2014-10-01
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doaj-549b613eb7184a369da5bedb17d3b4bb2020-11-25T02:48:50ZengTehran University of Medical SciencesFrontiers in Dentistry2676-296X2014-10-01115350Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report.Mohamad Gharavifard0Majid Razavi1Mehdi Ghandehari Motlagh2Mohsen Ziyaeifard3Associate Professor, Department of Anesthesia, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Assistant Professor, Department of Anesthesia, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Associate Professor, Dental Research Center Dentistry Research Institute, Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.Assistant Professor, Department of Anesthesia, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.Central anticholinergic syndrome (CAS) following general anesthesia (GA) is a well known syndrome in children and adults. Many cases of CAS have been previously reported in the literature. However, there are only two reports of post resuscitation CAS after administration of small doses of atropine. Hereby, we report a case of CAS in a child undergoing complete dental restoration under GA after receiving a small dose of atropine to reverse hypoxia induced bradycardia. Intraoperative events such as hypoxia or cardiac arrest may play a role as triggers for CAS. However, we cannot establish a causal relationship between the occurrence of CAS and such critical events.https://jdt.tums.ac.ir/index.php/jdt/article/view/374AtropinePediatricBradycardiaCentral anticholinergic syndromeHypoxia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohamad Gharavifard Majid Razavi Mehdi Ghandehari Motlagh Mohsen Ziyaeifard |
spellingShingle |
Mohamad Gharavifard Majid Razavi Mehdi Ghandehari Motlagh Mohsen Ziyaeifard Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report. Frontiers in Dentistry Atropine Pediatric Bradycardia Central anticholinergic syndrome Hypoxia |
author_facet |
Mohamad Gharavifard Majid Razavi Mehdi Ghandehari Motlagh Mohsen Ziyaeifard |
author_sort |
Mohamad Gharavifard |
title |
Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report. |
title_short |
Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report. |
title_full |
Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report. |
title_fullStr |
Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report. |
title_full_unstemmed |
Central Anticholinergic Syndrome due to Hypoxia-Induced Bradycardia in a Child with Difficult Intubation Undergoing Complete Dental Restoration: A Case Report. |
title_sort |
central anticholinergic syndrome due to hypoxia-induced bradycardia in a child with difficult intubation undergoing complete dental restoration: a case report. |
publisher |
Tehran University of Medical Sciences |
series |
Frontiers in Dentistry |
issn |
2676-296X |
publishDate |
2014-10-01 |
description |
Central anticholinergic syndrome (CAS) following general anesthesia (GA) is a well known syndrome in children and adults. Many cases of CAS have been previously reported in the literature. However, there are only two reports of post resuscitation CAS after administration of small doses of atropine. Hereby, we report a case of CAS in a child undergoing complete dental restoration under GA after receiving a small dose of atropine to reverse hypoxia induced bradycardia. Intraoperative events such as hypoxia or cardiac arrest may play a role as triggers for CAS. However, we cannot establish a causal relationship between the occurrence of CAS and such critical events. |
topic |
Atropine Pediatric Bradycardia Central anticholinergic syndrome Hypoxia |
url |
https://jdt.tums.ac.ir/index.php/jdt/article/view/374 |
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