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Case Reports in Anesthesiology
Volume 2014, Article ID 146870, 3 pages
http://dx.doi.org/10.1155/2014/146870
Case Report

Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure

Department of Anaesthesiology & Critical Care, Nizam’s Institute of Medical Sciences, Hyderabad 500082, India

Received 4 April 2014; Revised 9 May 2014; Accepted 12 May 2014; Published 22 May 2014

Academic Editor: Deokhee Lee

Copyright © 2014 Monu Yadav et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A one-year-old child operated on for arachnoid cyst in right frontoparietotemporal region had sudden bradycardia followed by cardiac arrest leading to death after connecting negative pressure to the subgaleal drain during craniotomy closure. The surgical procedure was uneventful. It is a common practice to place epidural or subgaleal drains connected to a vacuum system towards the end of craniotomy to prevent accumulation of intracranial and extracranial blood. The phenomenon of bradycardia with hypotension is known to occur following negative pressure application to the epidural, epicranial, or subgaleal space after craniotomy closure. However cardiac arrest as a complication of negative pressure suction drain in neurosurgical patients is not described in the literature.