Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 19 , ISSUE 4 ( 2015 ) > List of Articles

CASE REPORT

Nasocardiac reflex during aspiration and injection through a nasogastric tube: An infrequent occurrence

Jasleen Kaur, Sukhminder Jit Singh Bajwa

Keywords : Bradycardia, nasocardiac reflex, nasogastric tube

Citation Information : Kaur J, Bajwa SJ. Nasocardiac reflex during aspiration and injection through a nasogastric tube: An infrequent occurrence. Indian J Crit Care Med 2015; 19 (4):237-239.

DOI: 10.4103/0972-5229.154574

License: CC BY-ND 3.0

Published Online: 01-03-2016

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

Nasocardiac reflex is a relatively less discussed variant of trigeminovagal reflex where the afferent arc of the reflex is represented by any of the branches of the trigeminal nerves, and the efferent arc is via the vagus nerve. Elicitation of this reflex is commonly seen during surgical manipulation and is manifested as bradycardia or even asystole. We report a case where nasocardiac reflex was unusually observed in a patient when aspiration and injection were done through a nasogastric tube.


PDF Share
  1. Lang S, Lanigan DT, van der Wal M. Trigeminocardiac reflexes: Maxillary and mandibular variants of the oculocardiac reflex. Can J Anaesth 1991;38:757-60.
  2. Locke MM, Spiekermann BF, Rich GF. Trigeminovagal reflex during repair of a nasal fracture under general anesthesia. Anesth Analg 1999;88:1183-4.
  3. Chesley LD, Shapiro RD. Oculocardiac reflex during treatment of an orbital blowout fracture. J Oral Maxillofac Surg 1989;47:522-3.
  4. Baxandall ML, Thorn JL. The nasocardiac reflex. Anaesthesia 1988;43:480-1.
  5. Betlejewski S, Betlejewski A, Burduk D, Owczarek A. Nasal-cardiac reflex. Otolaryngol Pol 2003;57:613-8.
  6. Panneton WM. Controlled bradycardia induced by nasal stimulation in the muskrat, Ondatra zibethicus. J Auton Nerv Syst 1990;30:253-63.
  7. Schaller B, Probst R, Strebel S, Gratzl O. Trigeminocardiac reflex during surgery in the cerebellopontine angle. J Neurosurg 1999;90:215-20.
  8. Schaller B, Cornelius JF, Prabhakar H, Koerbel A, Gnanalingham K, Sandu N, et al. The trigemino-cardiac reflex: An update of the current knowledge. J Neurosurg Anesthesiol 2009;21:187-95.
  9. Precious DS, Skulsky FG. Cardiac dysrhythmias complicating maxillofacial surgery. Int J Oral Maxillofac Surg 1990;19:279-82.
  10. Campbell R, Rodrigo D, Cheung L. Asystole and bradycardia during maxillofacial surgery. Anesth Prog 1994;41:13-6.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.