Review Article
Asystole during Vitrectomy Secondary to Increasing Intraocular Infusion Pressure Transmitted via Sclerotomy Infusion Cannula
Brandon A Van Noord1 and Manxu Zhao2*
1Department of Anesthesiology, Keck Medical Center of the University of Southern California, Los Angeles, CA, USA
2Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA
- *Corresponding Author:
- Manxu Zhao
Department of Anesthesiology
Cedars-Sinai Medical Center
Los Angeles, CA, USA
E-mail: [email protected]
Received date: January 30, 2012; Accepted date: March 14, 2012; Published date: March 20, 2012
Citation: Van Noord BA, Zhao M (2012) Asystole during Vitrectomy Secondary to Increasing Intraocular Infusion Pressure Transmitted via Sclerotomy Infusion Cannula. J Anesthe Clinic Res 3:198. doi: 10.4172/2155-6148.1000198
Copyright: © 2012 Van Noord BA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
The case of a 61 year-old male with recurrent retinal detachment who experienced a systole after increasing intraocular pressure through the sclerotomy infusion cannula during vitrectomy is reported. While the oculocardiac reflex is well-know, this case is unique as neither direct ocular compression nor extraocular muscle traction was present when the incident occurred. When any structure innervated by the trigeminal nerve is manipulated, vigilance should be maintained as this potentially fatal reflex can successfully be treated and prevented.
