Trigeminocardiac reflex: the current clinical and physiological knowledge
The trigeminocardiac reflex (TCR) is defined as the sudden onset of parasympathetic dysrhythmia, sympathetic hypotension, apnea, or gastric hypermotility during stimulation of any of the sensory branches of the trigeminal nerve. Clinically, the TCR has been reported in all the surgical procedures in...
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| Veröffentlicht in: | Journal of neurosurgical anesthesiology 2015-04, Vol.27 (2), p.136-147 |
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| container_title | Journal of neurosurgical anesthesiology |
| container_volume | 27 |
| creator | Chowdhury, Tumul Mendelowith, David Golanov, Eugene Spiriev, Toma Arasho, Belachew Sandu, Nora Sadr-Eshkevari, Pooyan Meuwly, Cyrill Schaller, Bernhard |
| description | The trigeminocardiac reflex (TCR) is defined as the sudden onset of parasympathetic dysrhythmia, sympathetic hypotension, apnea, or gastric hypermotility during stimulation of any of the sensory branches of the trigeminal nerve. Clinically, the TCR has been reported in all the surgical procedures in which a structure innervated by the trigeminal nerve is involved. Although, there is an abundant literature with reports of incidences and risk factors of the TCR; the physiological significance and function of this brainstem reflex has not yet been fully elucidated. In addition, there are complexities within the TCR that requires examination and clarification. There is also a growing need to discuss its cellular mechanism and functional consequences. Therefore, the current review provides an updated examination of the TCR with a particular focus on the mechanisms and diverse nature of the TCR. |
| doi_str_mv | 10.1097/ANA.0000000000000065 |
| format | Article |
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| issn | 0898-4921 1537-1921 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Arterial Pressure - physiology Heart Rate - physiology Humans Neurosurgical Procedures - methods Oxygen Consumption Reflex, Trigeminocardiac - physiology Trigeminal Nerve - physiology |
| title | Trigeminocardiac reflex: the current clinical and physiological knowledge |
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