Case presentation A 52-year-old patient with degenerative disc disease at the interspace of C 3 -C 4 was admitted to the hospital for an anterior cervical discectomy and fusion. The patient had a 30-pack-year history of smoking. Except for taking ibuprofen and oxycodone routinely, the patient had no other remarkable medical history. Peri-operative preparations Propofol inducted Achieved neuromuscular blockade with succinylcholine Endotracheal intubation completed Administered sevoflurane Intravenous agents used to achieve anesthesia levels – Midazolam, ketamine bolus, lidocaine bolus, fentanyl, and magnesium sulfate Surgery and the incidence of asystole The patient was placed on mechanical ventilation and positioned supine.
Skull pins were placed to provide cervical retraction. Nerve root dissection and discectomy were performed with a left-sided surgical approach. Neuromuscular…
