Oculocardiac reflex during strabismus surgery

Taghavi Gilani, Mehryar and Sharifi, Mohammad and Najaf Najafi, Mona and Etemadi Mashhadi, Mohamad Ghasem (2016) Oculocardiac reflex during strabismus surgery. Reviews in Clinical Medicine, 3 (1). pp. 4-7.

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Abstract

The activation of oculucardiac reflex (OCR) is common during the strabismus surgeries. OCR is known as a trigemino-vagal reflex, which leads to the various side effects including bradycardia, tachycardia, arrhythmia, or in some cases cardiac arrest. This reflex could be activated during intraorbital injections, hematomas, and mechanical stimulation of eyeball and extraocular muscles surgeries. The incidence of OCR varies in a wide range, from 14 to 90, that depends on anesthetic strategy and drug used for the surgery. The efficacy of various anticholinergic and anesthetic agents on declining the OCR reflex has been evaluated in different studies, especially in children. Although the detection of OCR goes back to 1908, its exact effect is not well recognized during strabismus surgery. In this review, we aimed to summarize the studies investigated the efficacy and potential of various anesthetic medications on inhibiting the OCR in children undergoing strabismus surgery.

Item Type: Article
Subjects: WO Surgery
WW Ophthalmology
Divisions: Journals > Reviews in Clinical Medicine
Depositing User: RCM RCM
Date Deposited: 28 Sep 2017 14:53
Last Modified: 28 Sep 2017 14:53
URI: http://eprints.mums.ac.ir/id/eprint/4901

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