Intraoperative Cardiac Arrest : Pediatric

Case Synopsis

A 9-month-old boy, American Society of Anesthesiologists (ASA) class II, is undergoing craniosynostosis repair with general anesthesia consisting of 2.5% sevoflurane with oxygen and fentanyl. He has an endotracheal tube in place and is positioned prone on a gel roll. During craniectomy, tachycardia is appreciated on electrocardiogram (ECG) waveform, and the arterial line tracing demonstrates new hypotension. The pulse oximetry and end-tidal carbon dioxide waveforms have disappeared. There is no palpable pulse.