{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T01:20:33Z","timestamp":1793928033474,"version":"4.8.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T00:00:00Z","timestamp":1602633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T00:00:00Z","timestamp":1602633600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Pneumoperitoneum to maintain a constant gas flow to assist various surgeries is known to cause severe bradycardia and has been linked to heart failure;; however, a recent study demonstrated that it is not linked to poorer surgical outcomes; accordingly, it does not require routine preventive measures. Thus, whether there is a link between sudden bradycardia development and surgical procedures is controversial. We report the case of severe bradycardia that occurred along with a complete atrioventricular block (CAVB) during peritoneum creation in robot-assisted radical prostatectomy (RARP).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>A 72-year-old man presented at our hospital with prostate cancer and underwent RARP. After pneumoperitoneum, severe bradycardia and CAVB were observed; thus, the surgery was extended by inserting a temporary pacemaker (TPM).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Because of the difficulty in performing emergency procedures in robot-assisted surgeries, the current case is reported to provide an awareness that surgeons should be cautious of the possible complication of bradycardia and CAVB during such operations, and thus should take steps necessary for managing induction of such conditions.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12893-020-00902-9","type":"journal-article","created":{"date-parts":[[2020,10,14]],"date-time":"2020-10-14T12:03:20Z","timestamp":1602677000000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Temporary pacemaker insertion for severe bradycardia following pneumoperitoneum during robot-assisted radical prostatectomy: a case report"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6584-2995","authenticated-orcid":false,"given":"Fumito","family":"Yamabe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yozo","family":"Mitsui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orie","family":"Hoshino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomo","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mizuki","family":"Kasahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideyuki","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Nakajima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,10,14]]},"reference":[{"key":"902_CR1","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1007\/BF03005473","volume":"37","author":"DJ Doyle","year":"1990","unstructured":"Doyle DJ, Mark PWS. Reflex bradycardia during surgery. Can J Anaesth. 1990;37:219\u201322.","journal-title":"Can J Anaesth"},{"key":"902_CR2","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1093\/intqhc\/mzv077","volume":"27","author":"J Yong","year":"2015","unstructured":"Yong J, Hibbert P, Runciman WB, Coventry BJ. Bradycardia as an early warning sign for cardiac arrest during routine laparoscopic surgery. Int J Qual Health Care. 2015;27:473\u20138.","journal-title":"Int J Qual Health Care"},{"key":"902_CR3","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1159\/000077038","volume":"21","author":"CN Gutt","year":"2004","unstructured":"Gutt CN, Oniu T, Mehrabi A, Schemmer P, Kashfi A, Kraus T, et al. Circulatory and respiratory complications of carbon dioxide insufflation. 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Recurrent asystolic cardiac arrest and laparoscopic cholecystectomy: a case report and review of the literature. JSLS. 2004;8:65\u20138.","journal-title":"JSLS"},{"key":"902_CR7","doi-asserted-by":"publisher","first-page":"1265","DOI":"10.23736\/S0375-9393.17.12024-9","volume":"83","author":"F Raimondi","year":"2017","unstructured":"Raimondi F, Colombo R, Costantini E, Marchi A, Corona A, Fossali T, et al. Effects of laparoscopic radical prostatectomy on intraoperative autonomic nervous system control of hemodynamics. Minerva Anestesiol. 2017;83:1265\u201373. https:\/\/doi.org\/10.23736\/S0375-9393.17.12024-9.","journal-title":"Minerva Anestesiol"},{"key":"902_CR8","doi-asserted-by":"publisher","first-page":"276","DOI":"10.4097\/kjae.2013.65.3.276","volume":"65","author":"KT Jung","year":"2013","unstructured":"Jung KT, Kim SH, Kim JW, So KY. Bradycardia during laparoscopic surgery due to high flow rate of CO2 insufflation. Korean J Anesthesiol. 2013;65:276\u20137.","journal-title":"Korean J Anesthesiol"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-020-00902-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-020-00902-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-020-00902-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T23:54:11Z","timestamp":1634169251000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcsurg.biomedcentral.com\/articles\/10.1186\/s12893-020-00902-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,14]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["902"],"URL":"https:\/\/doi.org\/10.1186\/s12893-020-00902-9","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,14]]},"assertion":[{"value":"2 August 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 October 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This report does not include clinical studies that require ethical approval. Consent for thesis presentation is obtained from the patient in writing. June 27, 2019.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written Informed consent was obtained from the patient for this publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"238"}}