Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure

A one-year-old child operated on for arachnoid cyst in right frontoparietotemporal region had sudden bradycardia followed by cardiac arrest leading to death after connecting negative pressure to the subgaleal drain during craniotomy closure. The surgical procedure was uneventful. It is a common prac...

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Main Authors: Monu Yadav, Sapna A. Nikhar, Dilip Kumar Kulkarni, R. Gopinath
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2014/146870
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author Monu Yadav
Sapna A. Nikhar
Dilip Kumar Kulkarni
R. Gopinath
author_facet Monu Yadav
Sapna A. Nikhar
Dilip Kumar Kulkarni
R. Gopinath
author_sort Monu Yadav
collection DOAJ
description A one-year-old child operated on for arachnoid cyst in right frontoparietotemporal region had sudden bradycardia followed by cardiac arrest leading to death after connecting negative pressure to the subgaleal drain during craniotomy closure. The surgical procedure was uneventful. It is a common practice to place epidural or subgaleal drains connected to a vacuum system towards the end of craniotomy to prevent accumulation of intracranial and extracranial blood. The phenomenon of bradycardia with hypotension is known to occur following negative pressure application to the epidural, epicranial, or subgaleal space after craniotomy closure. However cardiac arrest as a complication of negative pressure suction drain in neurosurgical patients is not described in the literature.
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publishDate 2014-01-01
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series Case Reports in Anesthesiology
spelling doaj-art-73d8b9b0becb4430aa461e27601d48572025-08-20T02:07:05ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/146870146870Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy ClosureMonu Yadav0Sapna A. Nikhar1Dilip Kumar Kulkarni2R. Gopinath3Department of Anaesthesiology & Critical Care, Nizam’s Institute of Medical Sciences, Hyderabad 500082, IndiaDepartment of Anaesthesiology & Critical Care, Nizam’s Institute of Medical Sciences, Hyderabad 500082, IndiaDepartment of Anaesthesiology & Critical Care, Nizam’s Institute of Medical Sciences, Hyderabad 500082, IndiaDepartment of Anaesthesiology & Critical Care, Nizam’s Institute of Medical Sciences, Hyderabad 500082, IndiaA one-year-old child operated on for arachnoid cyst in right frontoparietotemporal region had sudden bradycardia followed by cardiac arrest leading to death after connecting negative pressure to the subgaleal drain during craniotomy closure. The surgical procedure was uneventful. It is a common practice to place epidural or subgaleal drains connected to a vacuum system towards the end of craniotomy to prevent accumulation of intracranial and extracranial blood. The phenomenon of bradycardia with hypotension is known to occur following negative pressure application to the epidural, epicranial, or subgaleal space after craniotomy closure. However cardiac arrest as a complication of negative pressure suction drain in neurosurgical patients is not described in the literature.http://dx.doi.org/10.1155/2014/146870
spellingShingle Monu Yadav
Sapna A. Nikhar
Dilip Kumar Kulkarni
R. Gopinath
Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure
Case Reports in Anesthesiology
title Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure
title_full Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure
title_fullStr Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure
title_full_unstemmed Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure
title_short Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure
title_sort cardiac arrest after connecting negative pressure to the subgaleal drain during craniotomy closure
url http://dx.doi.org/10.1155/2014/146870
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AT sapnaanikhar cardiacarrestafterconnectingnegativepressuretothesubgalealdrainduringcraniotomyclosure
AT dilipkumarkulkarni cardiacarrestafterconnectingnegativepressuretothesubgalealdrainduringcraniotomyclosure
AT rgopinath cardiacarrestafterconnectingnegativepressuretothesubgalealdrainduringcraniotomyclosure