Oculocardiac reflex from the empty orbit

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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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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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Eye hue and the oculocardiac reflex.

During operations for squint nodal rhythm and other more serious arrhythmias such as heart block and multifocal ventricular extrasystoles, as well as the oculocardiac reflex, are shown to occur more frequently in patients with brown or hazel eyes than in patients with blue or grey eyes.

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Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex.

Three case reports are presented to illustrate the existence and importance of reflex bradycardic responses that can occur during maxillofacial surgical procedures. All three patients were healthy young adults undergoing operations which did not include any manipulation of orbital structures. After the patients had been anaesthetized for some time and were haemodynamically stable, profound brad...

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Oculocardiac reflex associated with a large orbital floor fracture.

A 40-year-old man presented with bradycardia, left eye pain, and intermittent nausea 1 day after blunt trauma to the left orbit. Imaging revealed a large orbital floor fracture with significant herniation of orbital contents but no obvious extraocualar muscle entrapment. Oculocardiac reflex was suspected, and the fracture was repaired surgically within 24 hours of presentation. His bradycardia ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1986

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1986.tb13253.x