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- P S Hart and W Yanny.
- Imperial School of Anaesthesia, Hemel Hempstead General Hospital, Herts, UK.
- Anaesthesia. 1998 Oct 1; 53 (10): 1002-4.
AbstractA case is reported in which suspicion of malignant vasovagal syndrome was aroused by a history of faints and needle phobia. The vasovagal response was successfully avoided using a gaseous induction of anaesthesia with sevoflurane. Intravenous access was achieved under general anaesthesia. The diagnosis of malignant vasovagal syndrome was confirmed postoperatively using a head-up tilt table test. An outline of the pathophysiology of the syndrome gives some indication for suitable anaesthetic management strategies in similar cases.
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