Key result
Anesthesia induction and intubation linked to asystole requiring full resuscitation in severe intracranial hypertension.
Case Report (n=2)
Severe intracranial hypertension in neurosurgical patients can lead to asystole immediately after induction of anesthesia, which may require emergency ventricular drainage during resuscitation.
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Asystole risk at induction demands cardiac vigilance in intracranial hypertension; Level 5 cases leave open preventive strategies.
The paper reports two clinical cases observed with a time lag of four years. In both cases, there were severe clinical symptoms of intracranial hypertension before the surgery. Prompt full-scale resuscitation was required in both cases due to asystole that developed immediately after induction of anesthesia and tracheal intubation. In one case, cardiac activity was successfully recovered by complex resuscitation with the emergency drainage of the cerebral ventricles. The possible causes of complications and preventive measures were discussed.
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Lubnin et al. (2015) conducted a case report in Intracranial hypertension in neurosurgical patients (n=2). Induction of anesthesia and tracheal intubation was evaluated on Cardiac arrest (asystole). Induction of anesthesia and tracheal intubation in neurosurgical patients with severe intracranial hypertension resulted in asystole requiring prompt full-scale resuscitation.
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