ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
David A. Fullerton
David R. Clarke
David N. Campbell
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fullerton, D. A.
Right arrow Articles by See, W. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Fullerton, D. A.
Right arrow Articles by See, W. M.

Ann Thorac Surg 1991;52:534-536
© 1991 The Society of Thoracic Surgeons

Articles

Bezold-Jarisch reflex in postoperative pediatric cardiac surgical patients

David A. Fullerton, MD*, John A.St. Cyr, MD, PhD, David R. Clarke, MD, David N. Campbell, MD, Warren H. Toews, MD, W.Mike See, MD

Department of Surgery, University of Colorado Health Sciences Center, and Division of Pediatric Cardiology, The Children's Hospital, Denver, Colorado, USA

Accepted for publication May 15, 1991.

* Address reprint requests to Dr Fullerton, Department of Surgery, University of Colorado Health Sciences Center, Campus Box C-310, 4200 East 9th Ave, Denver, CO 80262.

The Bezold-Jarisch reflex is an inhibitory reflex that originates from the heart, is mediated by the vagus nerve, and is manifested by hypotension and bradycardia. We present 4 pediatric cardiac surgical patients, aged 1 day to 9 months, who exhibited cardiovascular collapse in their early postoperative course. In each patient, cardiovascular deterioration was marked by an insidious decrease in arterial blood pressure without an associated change in heart rate, central venous pressure, or airway pressure. Bradycardiai followed the decrease in blood pressure. The Bezold-Jarisch reflex was suspected and atropine was administered, first as a bolus injection at 0.01 mg/kg, and later, as a continuous infusion at 0.01 mg · kg–1 · h–1. Atropine prevented recurrent episodes of hypotension and bradycardia. We believe the Bezold-Jarisch reflex is more prevalent than previously suspected in postoperative pediatric cardiac surgical patients.




This article has been cited by other articles:


Home page
 PediatricsHome page
M. E. Kleinman, A. R. de Caen, L. Chameides, D. L. Atkins, R. A. Berg, M. D. Berg, F. Bhanji, D. Biarent, R. Bingham, A. H. Coovadia, et al.
Pediatric Basic and Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Pediatrics, November 1, 2010; 126(5): e1261 - e1318.
[Full Text] [PDF]

Home page
 CirculationHome page
M. E. Kleinman, A. R. de Caen, L. Chameides, D. L. Atkins, R. A. Berg, M. D. Berg, F. Bhanji, D. Biarent, R. Bingham, A. H. Coovadia, et al.
Part 10: Pediatric Basic and Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations
Circulation, October 19, 2010; 122(16_suppl_2): S466 - S515.
[Full Text] [PDF]

Home page
 J. Appl. Physiol.Home page
L. A. Henderson, P. L. Yu, R. C. Frysinger, J.-P. Galons, R. Bandler, and R. M. Harper
Neural responses to intravenous serotonin revealed by functional magnetic resonance imaging
J Appl Physiol, January 1, 2002; 92(1): 331 - 342.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1991 by The Society of Thoracic Surgeons.