Oculocardiac reflex induced by zygomatic fracture; a case report

2000 ◽  
Vol 28 (2) ◽  
pp. 106-109 ◽  
Author(s):  
Masaaki Kosaka ◽  
Sin-ichi Asamura ◽  
Hiroshi Kamiishi
2008 ◽  
Vol 2 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Makoto SAKAMOTO ◽  
Takashi WATANABE ◽  
Tetsuji UNO ◽  
Hirotaka INAGAKI

2008 ◽  
Vol 54 (6) ◽  
pp. 708
Author(s):  
Kwang Beom Lee ◽  
Cheon-Hee Park ◽  
Dal-Yong Kim ◽  
Yong-Mi An ◽  
June-Seog Choi

2021 ◽  
Vol 9 (1) ◽  
pp. 58-64
Author(s):  
Diva Zuniar Ritonga ◽  
Dedi Fitri Yadi ◽  
Muhamad Adli

There are various types of eye surgery with each requires special attention in anesthesia management. Strabismus surgery has several risks that need to be considered; one of which is oculocardiac reflex. The oculocardiac reflex is a condition characterized by decreased heart rate caused by the pressure on the globe or by traction on the extraocular muscles and conjunctiva or the orbital structures. This reflex can manifest as an asystole if left untreated. This is a case report of a 19-year-old male with ASA classification 1 presented with esotropia of left and right eyes. General anesthesia was used for anesthesia with 100 mcg fentanyl, 100 mg propofol, and 25 mg atracurium for induction and, for airway management, LMA size 3 was used. Sevoflurane 2–3 vol% with oxygen and nitrous oxide was given as maintenance. During the surgery, the heart rate dropped to 35 beats per minute when the operator pulled the medial rectus muscle in the first eye. The surgery was then paused and the heart rate was incrementally increased to 65 beats per minute without any other intervention. Then, as the operator pulled the medial rectus muscle in the second eye, the heart rate decreased to 55 beats per minute and the surgery continued with the heart rate slowly increased without any intervention. The remaining surgery time was uneventful. Knowledge and early intervention of oculocardiac reflex conditions should be well understood by all anesthesiologist to avoid more catastrophic conditions.


1991 ◽  
Vol 71 (2) ◽  
pp. 137-138 ◽  
Author(s):  
Vincent B. Ziccardi ◽  
James Russavage ◽  
George C. Sotereanos ◽  
Gary T. Patterson

2015 ◽  
Vol 193 ◽  
pp. 56-57
Author(s):  
Jochen D. Schipke ◽  
Klaus Siegmund ◽  
Adel Taher ◽  
Matthias Krüll ◽  
Sinclair Cleveland ◽  
...  

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


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