ArticleBMC anesthesiology2016
A case of asystole from carotid sinus hypersensitivity during patient positioning for thyroidectomy.
Article in BMC anesthesiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 17 citations in OpenAlex.
- Anesthetic management of a patient with recurrent shock caused by anaplastic thyroid carcinoma compressing the internal carotid artery: a case report.Journal of dental anesthesia and pain medicine · 2026Article
- Asystole during suspension laryngoscopy associated with vagal reflex or carotid sinus hypersensitivity: a case report.Journal of medical case reports · 2025Article
- Cervical Hyperextension Causes Acute Cerebral Congestion in Non-Anesthetized Healthy Adults: An Observational Self-Controlled Design Study.Medicina (Kaunas, Lithuania) · 2025Observational
- The Effect of Thyroid Lobe Volume on the Common Carotid Artery Blood Flow in Thyroidectomy Position.Journal of clinical medicine · 2025Article
- Severe hypotension requiring resuscitation in tumour-related carotid sinus syndrome: a case report.European heart journal. Case reports · 2024Article
- Case report: Cardiac arrest during carotid body tumor resection indicating carotid sinus hypersensitivity.Frontiers in cardiovascular medicine · 2022Article
- Severe bradycardia caused by the deviation of the laryngeal mask airway Supreme: A case report.Medicine · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe present a case of a patient with multinodular goiter disease who suffered asystole during head hyperextension for surgical positioning on the operational table. CASE PRESENTATION: Manipulation of carotid sinus may trigger bradycardia or even asystole even in patients without prior history of carotid sinus hypersensitivity. The time proximity between patient positioning and asystole, the late responsiveness to atropine, the immediate increase of heart rate after head elevation and the lack of any other trigger factor or prior history support the hypothesis of carotid sinus syndrome.
conclusionsHead hyperextension during surgical positioning is not only responsible for jeopardizing blood flow to spinal cord and brainstem but may trigger reflexes, as well, even in patients without prior neck pathology.
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