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Evidences in Neurological Surgery and a Cutting Edge Classification of the Trigeminocardiac Reflex : A Systematic Review

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dc.contributor.authorLeon Ariza, Daniel S.spa
dc.contributor.authorLeon Ariza, Juan S.spa
dc.contributor.authorNangiana, Jasvinderspa
dc.contributor.authorVargas Grau, Gabrielspa
dc.contributor.authorLeon Sarmiento, Fidias E.spa
dc.contributor.authorQuiñones Hinojosa, Alfredospa
dc.date.accessioned2019-07-08T21:51:00Zspa
dc.date.available2019-07-08T21:51:00Zspa
dc.date.issued2018-08spa
dc.description.abstractThe trigeminocardiac reflex (TCR) is characterized by bradycardia, decrease of mean arterial blood pressure, and sometimes, asystole during surgery. We critically reviewed TCR studies and devised a novel classification scheme for assessing the reflex. Methods A comprehensive systematic literature review was performed using PubMed, MEDLINE, Web of Science, EMBASE, and Scielo databases. Eligible studies were extracted based on stringent inclusion and exclusion criteria. Statistical analyses were used to assess cardiovascular variables. TCR was classified according to morphophysiologic aspects involved with reflex elicitation. Results A total of 575 patients were included in this study. TCR was found in 8.9% of patients. The reflex was more often triggered by interventions made within the anterior cranial fossa. The maxillary branch (type II in the new classification) was the most prevalent nerve branch found to trigger the TCR. Heart rate and mean arterial blood pressure were similarly altered (P = 0.06; F = 0.3912809), covaried with age (P = 0.012; F = 9.302), and inversely correlated to each other (r = −0.27). Conclusions TCR is a critical cardiovascular phenomenon that must be quickly identified and efficiently classified and should trigger vigilance. Prompt therapeutic measures during neurosurgical procedures should be carefully addressed to avoid unwanted complications. Accurate categorization using the new classification scheme will help to improve understanding and guide the management of TCR in the perioperative period.eng
dc.format.mimetypeapplication/pdfspa
dc.identifier.doi10.1016/j.wneu.2018.05.208spa
dc.identifier.issn1878-8750spa
dc.identifier.urihttps://repositorio.udes.edu.co/handle/001/3306spa
dc.language.isoengspa
dc.relation.ispartofWorld Neurosurgeryeng
dc.rightsDerechos Reservados - Universidad de Santander, 2018spa
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccessspa
dc.rights.creativecommonsAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)spa
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/spa
dc.sourcehttps://www.sciencedirect.com/science/article/abs/pii/S1878875018311628eng
dc.subject.proposalAsystoleeng
dc.subject.proposalBradycardiaeng
dc.subject.proposalTrigeminocardiac Reflexeng
dc.subject.proposalTrigeminocardiac nerveeng
dc.subject.proposalCerebellopontine angleeng
dc.subject.proposalHypotensioneng
dc.subject.proposalNeurosurgeryeng
dc.titleEvidences in Neurological Surgery and a Cutting Edge Classification of the Trigeminocardiac Reflex : A Systematic Revieweng
dc.typeArtículo de revistaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTspa
dc.type.versioninfo:eu-repo/semantics/publishedVersionspa
dspace.entity.typePublication
oaire.accessrightshttp://purl.org/coar/access_right/c_14cbspa
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85spa
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