Evidence map›Paper›PMID 41555239›Full record

ArticleBMC anesthesiology2026

Vagus nerve-induced cardiac arrest during percutaneous nephrolithotomy: a clinical challenge.

Bingyi Wang, Xiaodan Wang, Chen Wang, Zitian Chen, Qiaoyu Han, Yi Feng, Ran Zhang, Luyang Jiang

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bingyi WangDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China.
Xiaodan WangDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China.
Chen WangDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China.
Zitian ChenDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China.
Qiaoyu HanDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China.
Yi FengDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China.
Ran ZhangDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China. ranzhang0921@outlook.com.
Luyang JiangDepartment of Anesthesiology, Peking University People's Hospital, Xi Zhi Men South Street, Peking, 100044, China. jiangly1018@hotmail.com.

Funding

National Natural Science Foundation of China 81150021
6 · The paper itself

Abstract

backgroundVagal overexcitation is a rare trigger of cardiac arrest during percutaneous nephrolithotomy, and is closely related to the abundant vagal branches in the renal hilum region. When surgical instruments or high-pressure perfusion directly stimulate the vagus nerve, sudden bradycardia or even asystole may be triggered. CASE PRESENTATION: A 56-year-old man undergoing percutaneous nephrolithotomy under general anesthesia experienced cardiac arrest due to vagus nerve stimulation following the injection of a small volume of iohexol into the renal calyx. Cardiopulmonary resuscitation was immediately performed, and the patient was transferred to the intensive care unit for further treatment and discharged after full recovery.

conclusionThis case suggests that cardiovascular events caused by the vagus nerve reflex should be monitored during percutaneous nephrolithotomy, and emergency medicine should be prepared before operations that may stimulate the vagus nerve, such as pyelocentesis or high-pressure perfusion.

Indexed as

Heart ArrestNephrolithotomy, PercutaneousVagus NerveAnesthesia, GeneralHumansMaleMiddle AgedCardiac arrestGeneral anesthesiaPercutaneous nephrolithotomyVagus nerve

Identifiers

PMID41555239
PMCPMC12905929

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.