{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T01:10:13Z","timestamp":1733274613881,"version":"3.30.1"},"reference-count":4,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>We describe a case of profound bradyarrhythmia after sugammadex administration during ambulatory anesthesia. The patient was a 21-year-old man with autism spectrum disorder undergoing planned general anesthesia for dental treatment. After treatment completion, sugammadex was administered upon awakening, and sudden bradyarrhythmia appeared immediately. The patient\u2019s heart rate decreased to approximately 30 beats\/min but quickly recovered to roughly 80 beats\/min after the administration of intravenous atropine. Electrocardiography suggested sinoatrial block or sinus arrest. Although the exact mechanism is unknown, severe electrocardiographic changes can occur within a few minutes of sugammadex administration.<\/jats:p>","DOI":"10.2344\/anpr-23-0054","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:30:31Z","timestamp":1733272231000},"page":"194-196","source":"Crossref","is-referenced-by-count":0,"title":["Suspected Sinus Arrest After Sugammadex Administration: A Case Report"],"prefix":"10.2344","volume":"71","author":[{"given":"Takuya","family":"Uchida","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamao","family":"Ikuno","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshinori","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mie","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akina","family":"Toya","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yozo","family":"Manabe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Momota","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"issue":"2","key":"i1878-7177-71-4-194-b01","series-title":"Anesthesiology","first-page":"188","article-title":"Reversal of profound, high-dose rocuronium-induced neuromuscular blockade by sugammadex at two different time points: an international, multicenter, randomized, dose-finding, safety assessor-blinded, phase II trial","volume":"109","author":"P\u00fchringer FK,","year":"2008","unstructured":"P\u00fchringer FK,\nRex C,\nSielenk\u00e4mper AW, et al. Reversal of profound, high-dose rocuronium-induced neuromuscular blockade by sugammadex at two different time points: an international, multicenter, randomized, dose-finding, safety assessor-blinded, phase II trial. Anesthesiology. 2008;109(2):188\u2013197."},{"issue":"1","key":"i1878-7177-71-4-194-b02","series-title":"Medicina (Kaunas)","first-page":"79","article-title":"Severe hypotension, bradycardia and asystole after sugammadex administration in an elderly patient","volume":"57","author":"Fierro C,","year":"2021","unstructured":"Fierro C,\nMedoro A,\nMignogna D, et al. Severe hypotension, bradycardia and asystole after sugammadex administration in an elderly patient. Medicina (Kaunas). 2021;57(1):79."},{"issue":"1","key":"i1878-7177-71-4-194-b03","series-title":"Cardiovasc Anesth","first-page":"19","article-title":"Ionic mechanism of sinoatrial node automaticity and its modulation by anesthetics [in Japanese]","volume":"22","author":"Kojima A,","year":"2018","unstructured":"Kojima A,\nImashuku Y,\nKitagawa H,\nMatsuura H. Ionic mechanism of sinoatrial node automaticity and its modulation by anesthetics [in Japanese]. Cardiovasc Anesth. 2018;22(1):19\u201323."},{"issue":"1","key":"i1878-7177-71-4-194-b04","series-title":"J Jpn Dent Soc Anesthesiol","first-page":"1","article-title":"Three cases of suspected sugammadex-induced hypersensitivity reactions [in Japanese]","volume":"46","author":"Shimazu R,","year":"2018","unstructured":"Shimazu R,\nNishimura A,\nShinohara A,\nKato Y,\nKawauchi A,\nIijima T. Three cases of suspected sugammadex-induced hypersensitivity reactions [in Japanese]. J Jpn Dent Soc Anesthesiol. 2018;46(1):1\u20135."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/71\/4\/article-p194.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/71\/4\/article-p194.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/71\/4\/article-p194.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:31:03Z","timestamp":1733272263000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/71\/4\/article-p194.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":4,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2344\/anpr-23-0054","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"value":"1878-7177","type":"electronic"},{"value":"0003-3006","type":"print"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}