• Ann Fr Anesth Reanim · Nov 2002

    Case Reports

    [Brainstem anesthesia after peribulbar anesthesia].

    • H Boret, D Petit, P Ledantec, and S Bénéfice.
    • Département d'anesthésie-réanimation, hôpital d'instruction des armées Sainte-Anne, 83500 Toulon-Naval, France. bruno.palmier@free.fr
    • Ann Fr Anesth Reanim. 2002 Nov 1; 21 (9): 725-7.

    AbstractWe report a case of pupilloplasty under peribulbar anaesthesia complicated by a brainstem anaesthesia requiring tracheal intubation and mechanical ventilation. Immediate outcome was good. We discuss the different mechanisms of this complication. The subarachnoidal (intrathecal) injection of local anaesthesic seems to be the most probable cause. The use of short needles should theoretically decrease the risk. Despite all these precautions, peribulbar anaesthesia should not be considered as an ordinary procedure.

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