Sudden death in strabismus surgery under local anaesthesia: a case report

Journal of Emergency Practice and Trauma

卷:3

Mukta Rani¹  Kuldeep Panchal¹  Mahesh Chand Meena¹ 

[1] Forensic Medicine and Toxicology, Lady Hardinge Medical College, New Delhi-110001, India;

关键词: Local anaesthesia;    Oculocardiac reflex;    Cholinergic antagonists;    Strabismus;   

DOI  :  10.15171/jept.2017.13

来源: DOAJ

【 摘 要 】

Oculocardiac reflex (OCR) sometimes occurs as a result of pressure on the eye or traction of the intraorbital surrounding structures during ophthalmic surgery. This can result in bradycardiac arrhythmia and cardiac arrest. A 45-year-old female was undergoing an elective squint correction surgery of one eye under local anaesthesia in a private hospital in December 2013. The patient was preoperatively examined, investigated and admitted to the hospital one day prior to operation. There was no previous history of any chronic illnesses. The patient collapsed during surgery and declared dead. Doctors attempting strabismus surgery under local anaesthesia should be familiar with this phenomenon.

【 授权许可】

Unknown