Effect of ketamine and midazolam on oculocardiac reflex in pediatric strabismus surgery

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Effect of ketamine and midazolam on oculocardiac reflex in pediatric strabismus surgery

BACKGROUND The oculocardiac reflex (OCR) can be elicited during manipulation of the orbital structures in the strabismus correction surgery. A sinus bradycardia is the most common manifestation of OCR; and cardiac dysrhythmia and asystole may also occur. Various efforts to reduce OCR have been attempted, but without coherent outcome results. METHODS Sixty one children, undergoing elective str...

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The oculocardiac reflex in strabismus surgery.

During strabismus surgery on 81 extraocular muscles in 49 children the cardiac response to calibrated traction on each of the muscles operated on was studied through the use of a microdisplacement transducer and the tachometer of a cardiac monitor. There was no significant difference in the frequency of induction of the oculocardiac reflex between the medial rectus and the other muscles or betw...

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Dexmedetomidine Nasal Sedation Produces More Oculocardiac Reflex During Strabismus Surgery.

To the Editors: Dexmedetomidine (Precedex; Hospira, Inc., Lake Forest, IL) is an alpha-adrenergic agonist that can serve as an intranasal alternative to oral midazolam for children undergoing strabismus surgery. Helpful for pediatric eye surgery,1 when combined with fentanyl and ketamine, intravenous dexmedetomidine may decrease oculocardiac reflex.2 From 2013 to 2015, in our institutional revi...

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Comparison of Intravenous Lidocaine versus Hyoscine on Prevention of Oculocardiac Reflex in Strabismus Surgery

Purpose: Oculocardiac reflex (OCR) is a frequent event during strabismus surgery. The aim of this study is to compare the preventive effect of intravenous lidocaine and hyoscine on OCR. Methods: This prospective, randomized clinical trial was performed on 75 patients (5-63 years old) underwent strabismus surgery. Patients divided randomly into three groups. Intravenous hyoscine (0.2 mg/kg), lid...

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comparison of intravenous lidocaine versus hyoscine on prevention of oculocardiac reflex in strabismus surgery

purpose: oculocardiac reflex (ocr) is a frequent event during strabismus surgery. the aim of this study is to compare the preventive effect of intravenous lidocaine and hyoscine on ocr.methods: this prospective, randomized clinical trial was performed on 75 patients (5-63 years old) underwent strabismus surgery. patients divided randomly into three groups. intravenous hyoscine (0.2 mg/kg), lido...

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ژورنال

عنوان ژورنال: Korean Journal of Anesthesiology

سال: 2013

ISSN: 2005-6419,2005-7563

DOI: 10.4097/kjae.2013.64.6.500