Oculocardiac reflex elicited during debridement of an empty orbit

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منابع مشابه

Oculocardiac reflex elicited during debridement of an empty orbit.

The oculocardiac reflex (OCR) is a well–described cardiac depressor reflex that may result in significant cardiac rate or rhythm changes, sinus and junctional bradycardia, heart block or asystole. It is also known by the eponym Aschner-Dagnini Reflex, being independently reported in 1908 by both Guiseppe Dagnini and later Bernard Aschner.1,2 The OCR is classically depicted as being precipitated...

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Anticholinergic premedication for prevention of oculocardiac reflex during squint surgery.

BACKGROUND Profound bradycardia during eye surgery is potentially serious event. In clinical practice this Oculocardiac Reflex (OCR) is most often encountered during squint surgery. The objective of this study was to assess the occurrence of OCR and prove the effect of anticholinergic premedication (atropine) to prevent OCR. METHODS This study comprises of sixty patients (age 2-30 years) oper...

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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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Oculocardiac reflex elicited by orbital floor fracture and inferior globe displacement

Purpose To review the physiology, presentation and management of the oculocardiac reflex (OCR) by describing a case of the OCR associated with an orbital foreign body and complete ocular prolapse through a large orbital floor fracture in a 40-year-old male following a motor vehicle accident. Observations The patient demonstrated marked bradycardia and hypotension necessitating intubation and ...

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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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ژورنال

عنوان ژورنال: Journal of Clinical Anesthesia

سال: 2012

ISSN: 0952-8180

DOI: 10.1016/j.jclinane.2011.07.007