The Use of Adenosine for Temporary Cardiac Arrest during Intraoperative Cerebral Aneurysmal Re-Bleeding

Intraoperative cerebral aneurysmal re-bleeding has a deleterious effect that is associated with high mortality and morbidity. Neurosurgeons and anesthesiologists should be familiar with all methods including hypothermia, cardiopulmonary bypass, pharmacologically-induced hypotension and cardiac standstill to manage intraoperative aneurysmal rupture or clip complex aneurysms. Specifically, adenosine induced profound hypotension or cardiac arrest has been used recently. We present our experience with the use of adenosine during a case of incidentally developed intraoperative cerebral aneurysmal rupture.