Sudden Severe Bradycardia Induced by Propofol-Succinylcholine in a Healthy Adult Patient: A Case Report

Cureus. 2024 Sep 11;16(9):e69207. doi: 10.7759/cureus.69207. eCollection 2024 Sep.

Abstract

This case report describes a 27-year-old healthy female patient undergoing bilateral salpingectomy for sterilization who experienced sudden bradycardia following induction with propofol (2, 6 diisopropylphenol) and succinylcholine. Despite lacking prior cardiac issues, the patient's heart rate dropped precipitously, necessitating intervention with glycopyrrolate. This case report highlights the importance of premedication with anticholinergics to prevent bradycardia in similar scenarios, underscoring the need for vigilance and preparedness to manage adverse cardiac events during anesthesia induction, even in patients without evident risk factors.

Keywords: anesthesia induction; anticholinergic premedication; bradycardia; cardiac adverse events; propofol; succinylcholine.

Publication types

  • Case Reports