Resumo

DE MIRANDA REMEDIOS, Dania Idelisa; CARMENATES BARYOLA, Leslie Juan; POZO ROMERO, José Antonio  e  CORREA BORRELL, Mayda. The oculocardiac reflex in ophthalmic surgery as a medical emergence. Rev cuba anestesiol reanim [online]. 2010, vol.9, n.2, pp. 119-127. ISSN 1726-6718.

Introduction: An appropriate anesthetic behavior in ophthalmic surgery may to contribute to a successful procedure, thus, it is necessary that anesthesiologists related to this field bear in mind the danger of the oculocardiac reflex appearance and its consequences. Objective: To identify the appearance of the above mentioned reflex in ophthalmic surgery of the squint and to avoid the occurrence of cardiorespiratory arrest. Material and Methods: An analytical, longitudinal and prospective study was conducted between May, 2008 and April, 2009 to study 45 patients operated on due to squint in the Ophthalmology Center of "Manuel Ascunce Domenech" of Camagüey. Results: It was possible to demonstrate that this type of reflex may to appear indiscriminately of anesthetic method used (general, endotracheal or peribulbar). In study patients there was not this type of reflex when a combination of ketamine-halothane as anesthetic agents and ketamine-isoflorane in general endotracheal anesthesia. Oculo-cardiac reflex stimulation isn't more frequent with the management of a specific muscle, but that the strength and the type of stimulus appear to influence in its incidence. Stopping of muscular stimulus and administration of intravenous atropine was the more effectiveness treatment when the reflex was present. Conclusions: It is essential that anesthesiologists know the distinctive features that may to trigger the oculocardiac reflex avoiding a fatal outcome.

Palavras-chave : Oculocardiac r4eflex; general anesthesia; complications; regional anesthesia.

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