Sinus arrest complicating a bitemporal approach to the treatment of pan-facial fractures

Br J Oral Maxillofac Surg. 1990 Apr;28(2):109-10. doi: 10.1016/0266-4356(90)90134-7.

Abstract

Two cases are reported in which the treatment of pan-facial fractures via a bi-temporal flap approach was complicated by cessation of activity of the sinuatrial node (sinus arrest). The anatomical, physiological and anaesthetic implications of this potentially fatal complication are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Atropine / therapeutic use
  • Glycopyrrolate / therapeutic use
  • Heart Arrest / drug therapy
  • Heart Arrest / etiology*
  • Humans
  • Intraoperative Complications
  • Male
  • Maxillary Fractures / complications
  • Maxillary Fractures / surgery
  • Maxillofacial Injuries / complications
  • Maxillofacial Injuries / surgery*
  • Orbital Fractures / complications
  • Orbital Fractures / surgery
  • Reflex* / physiology
  • Reflex, Oculocardiac* / physiology
  • Surgical Flaps

Substances

  • Atropine
  • Glycopyrrolate