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- Sreenivasa S Moorthy, Rashid Zaffer, Sandra Rodriguez, Susan Ksiazek, and Robert D Yee.
- Department of Anesthesia, Roudebush V.A. Medical Center, Indianapolis, IN 46202, USA. Screenivasa.Moorthy@med.va.gov
- J Clin Anesth. 2003 Jun 1; 15 (4): 267-70.
AbstractSurgery on the eye is performed using topical anesthesia, retrobulbar anesthesia, peribulbar anesthesia, and general anesthesia. Retrobulbar anesthesia is associated with a number of complications that include apnea (respiratory arrest), seizures, or both. Although these complications are transient and self-limiting, they can be life-threatening if not recognized and treated early. We report two patients who developed apnea, one of whom had cardiorespiratory arrest; and two other patients who presented with seizures. We provided ventilation with 100% oxygen, treated the hypertension with nicardipine, and the tachycardia with esmolol. The patients did not have any residual complications.
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