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Cardiac arrest in a child with cerebral palsy undergoing sevoflurane induction of anesthesia after preoperative clonidine
Author(s) -
GOLDFINGER MARK M.,
TRIPI PAUL A.
Publication year - 2007
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2006.02065.x
Subject(s) - medicine , clonidine , anesthesia , bradycardia , blood pressure , sevoflurane , heart rate , resuscitation , premedication
Summary Clonidine is a frequently administered α 2‐adrenergic agonist which can decrease heart rate and blood pressure. We present a case of a 5‐year‐old child with cerebral palsy and seizure disorder, receiving clonidine for restlessness, who presented for placement of a baclofen pump. Without the knowledge of the medical personnel, the patient's mother administered three doses of clonidine during the evening before and morning of surgery to reduce anxiety. During induction of anesthesia, the patient developed bradycardia and hypotension requiring cardiac resuscitation. There are no previous reports of clonidine‐associated cardiac arrest in a child undergoing induction of anesthesia.