Recurrent asystole during laryngoscopy - A nightmare for the anesthesiologists

Hemodynamic response to laryngoscopy and intubation is usually transient, but it may be more pronounced and unpredictable in certain group of patients. Bradycardia and asystole during laryngoscopy is usually a rare manifestation compared to hypertension and tachycardia. Anesthesiologists should be more vigilant and take special precautions to avoid such life-threatening complications during laryngoscopy. Here, we report recurrent asystole on multiple occasions during laryngoscopy in a patient with obstructive jaundice.