Oculocardiac reflex: an unusual trigger during dental surgery
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The oculocardiac reflex is a trigeminal-vagal reflex that manifests as cardiac arrythmias, most often bradycardia. The reflex can be triggered by manipulation of periorbital structures and unintended pressure on the bulbus oculi maxillofacial procedures. In this brief communication, we describe an unusual trigger of the oculocardiac reflex during maxillofacial surgery that resulted in severe bradycardia. This case highlights the need for careful securement of medical devices and attention to surgical technique to avoid undue pressure on draped fascial structures.
Abstract
The oculocardiac reflex is a trigeminal-vagal reflex that manifests as cardiac arrythmias, most often bradycardia. The reflex can be triggered by manipulation of periorbital structures and unintended pressure on the bulbus oculi maxillofacial procedures. In this brief communication, we describe an unusual trigger of the oculocardiac reflex during maxillofacial surgery that resulted in severe bradycardia. This case highlights the need for careful securement of medical devices and attention to surgical technique to avoid undue pressure on draped fascial structures.
참고문헌 (4)
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- Tomohiro Yamamoto, "Complications associated with nasotracheal intubation and proposal of simple countermeasure", Anestezjologia Intensywna Terapia, 51(1), pp.72~73 (2019), Termedia Sp. z.o.o.[DOI]
- Frank Farbod, "Endotracheal Tube Fixation Methods for Optimal Stability", Journal of Craniofacial Surgery, 21(4), pp.1250~1251 (2010), Ovid Technologies (Wolters Kluwer Health)[DOI]
