Significance of Vagovagal Reflex During Anesthesia

Authors

  • Ladda Permpolprasert Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Parichad Apidechakul Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Warunee Buayam Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Phongthara Vichitvejpaisal Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Keywords:

anesthesia, bradycardia, homeostasis, vagovagal reflex

Abstract

The vagovagal reflex, mediated by the vagus nerve, is a vital mechanism in maintaining homeostasis during anesthesia. This complex reflex involves intricate neural pathways that regulate heart rate, blood pressure, gastrointestinal motility, and respiratory function. Certain anesthetic agents can trigger vagal activation, leading to reflex responses that pose potential complications, including bradycardia, hypotension, bronchospasm and gastrointestinal disturbances. Taking into account factors such as patient age, medical conditions and medication use, a tailored approach can be developed. Proactive and vigilant monitoring of vital signs is essential in detecting and addressing any vagal reflex-mediated changes promptly. Adjusting anesthetic depth, administering intravenous fluids, utilizing pharmacological interventions and employing positive pressure ventilation techniques are effective strategies to counteract vagal reflex responses. Ongoing research efforts aim to further understand the vagovagal reflex and develop improved strategies for its management during anesthesia.

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Published

2024-06-30

How to Cite

Permpolprasert, L., Apidechakul, P., Buayam, W., & Vichitvejpaisal, P. (2024). Significance of Vagovagal Reflex During Anesthesia. Thai Journal of Anesthesiology, 50(4), 241–248. retrieved from https://he02.tci-thaijo.org/index.php/anesthai/article/view/269959

Issue

Vol. 50 No. 4 (2024): July-August

Section

Original articles

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