Surgical and anesthetic influences of the oculocardiac reflex in adults and children during strabismus surgery |
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Institution: | 1. Department of Anesthesiology, University of California San Diego, La Jolla, CA, USA;2. Viterbi Family Department of Ophthalmology, University of California San Diego, La Jolla, CA, USA |
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Abstract: | One of the most common untoward occurrences during strabismus surgery at all ages is the oculocardiac reflex. Although typically easily treated, the sudden bradycardia or cardiac arrest may add a few gray hairs to ophthalmologists and anesthesiologists alike as it can be potentially fatal. This updated review of the literature and novel detailed treatment algorithm may prevent patient morbidity and mortality through proper recognition of at-risk patients and rapid treatment through proper communication between surgical and anesthesia physicians/providers. |
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Keywords: | Oculocardiac reflex Strabismus surgery Extraocular muscles Trigeminovagal reflex Bradycardia |
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