{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:29:59Z","timestamp":1747150199979,"version":"3.40.5"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T00:00:00Z","timestamp":1556755200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>Trigeminocardiac reflex (TCR) is a physiological response that occurs due to stimulation of the trigeminal nerve, resulting in vagus nerve activation, parasympathetic dysrhythmia, and sympathetic hypotension. The pediatric population is vulnerable to TCR due to higher resting vagal tone, which can result in ischemia and death. This study reports two cases of TCR during adenotonsillectomy. Placement and rapid opening of a Crowe\u2010Davis retractor led to immediate bradycardia and hypotension in two children undergoing adenotonsillectomy, which resolved upon release of the retractor. Early intraoperative recognition of TCR with removal of mechanical stimulation can resolve vital instability without need for chemical intervention.<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 130:803\u2013805, 2020<\/jats:p>","DOI":"10.1002\/lary.28016","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T14:39:13Z","timestamp":1556807953000},"page":"803-805","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Trigeminocardiac reflex in pediatric adenotonsillectomy: A report of two cases with literature review"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8478-7522","authenticated-orcid":false,"given":"Lilun","family":"Li","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Children's National Health System  Washington DC U.S.A."},{"name":"Division of Otolaryngology George Washington University  Washington DC U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Connie","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Anesthesiology, Pain and Perioperative Medicine Children's National Health System  Washington DC U.S.A."},{"name":"Department of Anesthesiology George Washington University  Washington DC U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Pe\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Children's National Health System  Washington DC U.S.A."},{"name":"Division of Otolaryngology George Washington University  Washington DC U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chaitanya","family":"Challa","sequence":"additional","affiliation":[{"name":"Division of Anesthesiology, Pain and Perioperative Medicine Children's National Health System  Washington DC U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-004-0458-4"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000484"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11102-008-0118-2"},{"key":"e_1_2_5_5_1","first-page":"ZD01","article-title":"Two episodes of trigeminocardiac reflex during a pan facial fracture surgery, a rare phenomenon\u2014case report and review of literature","volume":"11","author":"Bhattacharjee A","year":"2017","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(99)90829-7"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25090"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.562"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-6-372"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/159101991101700103"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnis.2010.003723"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2016.11.006"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.28016","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.28016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T20:03:02Z","timestamp":1694030582000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.28016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,2]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1002\/lary.28016"],"URL":"https:\/\/doi.org\/10.1002\/lary.28016","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2019,5,2]]},"assertion":[{"value":"2019-03-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}