Oculocardiac reflex: an unusual trigger during dental surgery
Arora Vivek, Lee Alex,
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( Arora Vivek ) - University of Washington Department of Anesthesiology and Pain Medicine
( Lee Alex ) - University of Washington Department of Anesthesiology and Pain Medicine
Abstract
The oculocardiac reflex is a trigeminal-vagal reflex that manifests as cardiac arrythmias, most often bradycardia. The reflex can be triggered by manipulation of periorbital structures and unintended pressure on the bulbus oculi maxillofacial procedures. In this brief communication, we describe an unusual trigger of the oculocardiac reflex during maxillofacial surgery that resulted in severe bradycardia. This case highlights the need for careful securement of medical devices and attention to surgical technique to avoid undue pressure on draped fascial structures.
키워드
Nasotracheal tube; Bradycardia; Oculocardiac reflex
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