The role of anticholinergic medication in the prevention of bradycardia during laparoscopic gynaecological surgery

Steer, Anna E., Ozcan, John, and Emeto, Theophilus I. (2019) The role of anticholinergic medication in the prevention of bradycardia during laparoscopic gynaecological surgery. Australian and New Zealand Journal of Obstetrics and Gynaecology, 59 (6). pp. 777-780.

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Abstract

Bradycardia and cardiac arrest are recognised complications of laparoscopic gynaecological surgery. Anticholinergic agents are indicated in the treatment of perioperative bradyarrhythmia; however, their role in the prevention of bradycardia as a result of insufflation of the peritoneum is less well defined. This article systematically reviewed the literature with respect to the role of anticholinergic agents in the prevention of clinically significant bradyarrhythmia during laparoscopic gynaecological surgery. Eight studies were included for review following an extensive database search. This review highlights the paucity of evidence supporting the prophylactic use of anticholinergic agents in preventing clinically significant bradycardia in women undergoing laparoscopic gynaecological surgery.

Item ID: 60755
Item Type: Article (Research - C1)
ISSN: 1479-828X
Keywords: anticholinergic, bradycardia, pneumoperitoneum, laparoscopic gynaecological surgery
Copyright Information: © 2019 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Date Deposited: 29 Oct 2019 03:01
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 70%
11 MEDICAL AND HEALTH SCIENCES > 1116 Medical Physiology > 111699 Medical Physiology not elsewhere classified @ 10%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 20%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 60%
92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920412 Preventive Medicine @ 20%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920108 Immune System and Allergy @ 20%
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