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Singh RB, Rizvi MM, Rasheed MA, et al. I-gel saves the day: Bradycardia and apnea in a patient undergoing burr hole and evacuation for a subdural hematoma under scalp block. Anesth Essays Res. 2015;9(2):244-6doi: 10.4103/0259-1162.156357.
Singh, R. B., Rizvi, M. M., Rasheed, M. A., & Sarkar, A. (2015). I-gel saves the day: Bradycardia and apnea in a patient undergoing burr hole and evacuation for a subdural hematoma under scalp block. Anesthesia, essays and researches, 9(2), 244-6. https://doi.org/10.4103/0259-1162.156357
Singh, Raj Bahadur, et al. "I-gel saves the day: Bradycardia and apnea in a patient undergoing burr hole and evacuation for a subdural hematoma under scalp block." Anesthesia, essays and researches vol. 9,2 (2015): 244-6. doi: https://doi.org/10.4103/0259-1162.156357
Singh RB, Rizvi MM, Rasheed MA, Sarkar A. I-gel saves the day: Bradycardia and apnea in a patient undergoing burr hole and evacuation for a subdural hematoma under scalp block. Anesth Essays Res. 2015 May-Aug;9(2):244-6. doi: 10.4103/0259-1162.156357. PMID: 26417135; PMCID: PMC4563952.
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Anesth Essays Res. 2015 May-Aug;9(2):244-6. doi: 10.4103/0259-1162.156357.

I-gel saves the day: Bradycardia and apnea in a patient undergoing burr hole and evacuation for a subdural hematoma under scalp block.

Anesthesia, essays and researches

Raj Bahadur Singh, Mohd Meesam Rizvi, Mohd Asim Rasheed, Arindam Sarkar

Affiliations

  1. Department of Anesthesiology, Era's Lucknow Medical College and Hospital, Lucknow, Uttar Pradesh, India.

PMID: 26417135 PMCID: PMC4563952 DOI: 10.4103/0259-1162.156357

Abstract

Awake craniotomy is generally performed in scalped block, although it is safe, but this procedure can sometimes produce severe hemodynamic disturbances. Here, we reported a case of 32-year-old male, who came for burr hole and during the craniotomy performed under scalped block developed bradycardia and became apneic as manifested by the absence of ETCO2 and no chest excursions. An I-gel was inserted rather than intubating the patient and the case was managed very well and which showed the importance of supraglottic airway devices in our day to day practice.

Keywords: Apnea; I-gel; craniotomy; scalp nerves block; trigemino-cardiac reflex

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