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Article: Peribulbar anaesthesia: Failure to abolish the oculocardiac reflex

TitlePeribulbar anaesthesia: Failure to abolish the oculocardiac reflex
Authors
Issue Date1992
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eye
Citation
Eye, 1992, v. 6 n. 3, p. 293-295 How to Cite?
AbstractPeribulbar anaesthesia is a form of regional anaesthesia which has been used with increasing popularity in cataract surgery. Recently indications for its use have been extended to include surgery for vitreo-retinal disease and strabismus. This study shows that in nine of 11 patients in whom the oculocardiac reflex was stimulated by traction on an extra-ocular muscle, peribulbar anaesthesia failed to abolish the reflex. In each of these patients, the reflex manifested as a bradycardia. In one subject, the bradycardia was profound, showing no QRS complex for five seconds. We recommend that cardiac rhythm be monitored throughout procedures performed under peribulbar anaesthesia, and that a vagolytic agent be available for immediate use.
Persistent Identifierhttp://hdl.handle.net/10722/146224
ISSN
2015 Impact Factor: 2.213
2015 SCImago Journal Rankings: 1.132
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorBatterbury, Men_HK
dc.contributor.authorWong, Den_HK
dc.contributor.authorWilliams, Ren_HK
dc.contributor.authorKelly, Jen_HK
dc.contributor.authorMostafa, SMen_HK
dc.date.accessioned2012-04-10T01:49:31Z-
dc.date.available2012-04-10T01:49:31Z-
dc.date.issued1992en_HK
dc.identifier.citationEye, 1992, v. 6 n. 3, p. 293-295en_HK
dc.identifier.issn0950-222Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/146224-
dc.description.abstractPeribulbar anaesthesia is a form of regional anaesthesia which has been used with increasing popularity in cataract surgery. Recently indications for its use have been extended to include surgery for vitreo-retinal disease and strabismus. This study shows that in nine of 11 patients in whom the oculocardiac reflex was stimulated by traction on an extra-ocular muscle, peribulbar anaesthesia failed to abolish the reflex. In each of these patients, the reflex manifested as a bradycardia. In one subject, the bradycardia was profound, showing no QRS complex for five seconds. We recommend that cardiac rhythm be monitored throughout procedures performed under peribulbar anaesthesia, and that a vagolytic agent be available for immediate use.en_HK
dc.languageengen_US
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eyeen_HK
dc.relation.ispartofEyeen_HK
dc.subject.meshAnesthesia, Conductionen_US
dc.subject.meshHeart Rate - Physiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshLidocaine - Pharmacologyen_US
dc.subject.meshOphthalmologic Surgical Proceduresen_US
dc.subject.meshReflex, Oculocardiac - Drug Effectsen_US
dc.subject.meshTractionen_US
dc.titlePeribulbar anaesthesia: Failure to abolish the oculocardiac reflexen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid1446763-
dc.identifier.scopuseid_2-s2.0-0027089950en_HK
dc.identifier.volume6en_HK
dc.identifier.issue3en_HK
dc.identifier.spage293en_HK
dc.identifier.epage295en_HK
dc.identifier.isiWOS:A1992KC83300013-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridBatterbury, M=35513013200en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.scopusauthoridWilliams, R=7409603323en_HK
dc.identifier.scopusauthoridKelly, J=7404900762en_HK
dc.identifier.scopusauthoridMostafa, SM=7006704528en_HK

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