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Setting up a heart rate alarm limit to decrease oculocardiac reflex during strabismus surgery in children

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Abstract

The aim of this paper is to investigate a method which may decrease the incidence and severity of oculocardiac reflex (OCR) without drugs. One hundred and sixty children undergoing strabismus surgery were allocated to two groups using double-blind randomization. OCR was defined as a decrease of more than 10% from the baseline heart rate during operation. An alarm sounded and a lamp flashed as soon as OCR occurred in group I, and neither of the above happened in group II. OCR occurred (1.151 ± 0.858) times in group I and (2.287 ± 1.371) times in group II (P < 0.05). Heart rate decreased by (23 ± 19) bpm in group I and (35 ± 28) bpm in group II (P < 0.05). The duration of OCR in group I and group II was (4.36 ± 4.26)s and (7.62 ± 6.41)s, respectively (P < 0.05). The recovery time for group I and group II was (15.36 ± 13.28)s and (32.36 ± 19.57)s, respectively (P < 0.05). The numbers of times of interruption were 8 in group I (10%) and 26 in group II (32%) (P < 0.01). This method significantly decreased the incidence and severity of OCR during strabismus surgery in children.

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References

  1. Liu G Z, Zu Y. Prevention and remedy of oculocardiac reflex. Zhong Yuan Yi Kan, 2006, 33(4): 51–54 (in Chinese)

    Google Scholar 

  2. Gu E H. Clinical analysis about oculocardiac reflex in fossa orbitalis surgery. Zhonghua Yan Ke Za Zhi, 1996, 4(2): 249 (in Chinese)

    Google Scholar 

  3. Dong Z, Sun J N. Ophthalmologic operation and oculocardiac reflex. Dong Nan Da Xue Xue Bao (Med Sci Ed), 2007, 26(2): 148–151 (in Chinese)

    Google Scholar 

  4. Yi F, Yu J P, Cai M J, Zeng J J. Initial Discussion about oculocardiac reflex in construction of double eyelid. Zhongguo Shi Yong Mei Rong Zheng Xing Wai Ke Za Zhi, 2004, 15(4): 191–193 (in Chinese)

    Google Scholar 

  5. Zhuge W Y, Ma Y, Zhao T L. Oculocardiac reflex in strabismus surgery. Zhongguo Xin Xue Guan Za Zhi, 2001, 6: 170–171 (in Chinese)

    Google Scholar 

  6. Karanovic N, Jukic M, Carev M, Kardum G, Dogas Z. Rocuronium attenuates oculocardiac reflex during squint surgery in children anesthetized with halothane and nitrous oxide. Acta Anaesthesiol Scand, 2004, 48(10): 1301–1305

    Article  PubMed  CAS  Google Scholar 

  7. Kim W O, Kil H K, Lee J S, Lee J H. Prediction of oculocardiac reflex in strabismus surgery using neutral networks. Yonsei Med J, 1999, 40(3): 244–247

    PubMed  CAS  Google Scholar 

  8. Tong Y L, Sun M, Li Q, Xia J Y. Comparison about pulse rate when sleeping or occuring oculocardiac reflex in children undergoing strabismus surgery. Zhonghua Ma Zui Xue Za Zhi, 2006, 26(1): 80–81 (in Chinese)

    Google Scholar 

  9. Wolf G L. Complications of ophthalmologic anesthesia. Seminars in Anesthesia, 1990, 9(2): 108

    Google Scholar 

  10. Cai C H, Zhang W X. Re-evaluate atropine as premedicant before surgery. Guo Wai Yi Xue Ma Zui Yu Fu Su Fen Ce, 1999, 20(4): 196–199 (in Chinese)

    Google Scholar 

  11. Yan Z S, Yao D W, Ma J Z. Observation of oculocardiac reflex in 62 strabismus surgeries. Zhongguo Xie Shi Yu Xiao Er Yan Ke Za Zhi, 1995, 3: 70–72 (in Chinese)

    Google Scholar 

  12. Hahnenkamp K, Hönemann C W, Fischer L G, Durieux M E, Muehlendyck H, Braun U. Effect of different anaesthesia regimes on the oculocardiac reflex during paediatric strabismus surgery. Paediatr Anesth, 2000, 10(6): 601–608

    CAS  Google Scholar 

  13. Xue R X. Ketamine and peribulbar block applied on children undergoing strabismus surgery. Zhongguo Mei Tan Gong Ye Yi Xue Za Zhi, 2004, 7(20): 176–177 (in Chinese)

    Google Scholar 

  14. Choi S H, Lee S J, Kim S H, Kim J H, Kwon H H, Shin Y S, Lee K Y. Single bolus f intravenous ketamine for anesthetic induction decreases oculocardiac reflex in children undergoing strabismus surgery. Acta Anaesthesiol Scand, 2007, 51: 759–762

    Article  PubMed  CAS  Google Scholar 

  15. Ruta U, Gerding H, Mollhoff T. Effect of locally applied lidocaine on expression of the oculocardiac reflex. Ophthalmology, 1997, 94(5): 354–359

    Article  CAS  Google Scholar 

  16. Grover V K, Bhardwaj N, Shobana N, Grewal S P. Oculocardiac reflex during retinal surgery using peribulbar block and nitrous narcotic anesthesia. Ophthalmic Surg Lasers, 1998, 29(3): 207–212

    PubMed  CAS  Google Scholar 

  17. Deb K, Subramaniam R, Dehran M, Tandon R, Shende D. Safety and efficacy of peribulbar block as adjunct to general anaesthesia for paediatric ophthalmic surgery. Paediatr Anaesth, 2001, 11(2): 161–167

    Article  PubMed  CAS  Google Scholar 

  18. Steib A, Karcenty A, Calache E, Franckhauser J, Dupeyron J P, Speeg-Schatz C. Effects of subtenon anesthesia combined with general anesthesia on perioperative analgesic requirements in pediatric strabismus surgery. Reg Anesth Pain Med, 2005, 30(5): 478–483

    Article  PubMed  CAS  Google Scholar 

  19. Gupta N, Kumar R, Kumar S, Sehgal R, Sharma K R. A prospective randomised double blind study to evaluate the effect of peribulbar block or topical application of local anaesthesia combined with general anaesthesia on intra-operative and postoperative complications during paediatric strabismus surgery. Anaesthesia, 2007, 62(11): 1110–1113

    Article  PubMed  CAS  Google Scholar 

  20. Ghai B, Makkar J K, Arora S. Introperative cardiac arrest because of oculocardiac reflex and subsequent pulmonary edema in a patient with extraocular cysticercosis. Paediatr Anesth, 2006, 16(11): 1194–1195

    Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology, Tianjin Eye Hospital, Tianjin Medical University, Tianjin, 300020, China

    Kangkang Zhang, Enhua Gu & Junjie Lu

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  1. Kangkang Zhang
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  2. Enhua Gu
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  3. Junjie Lu
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Correspondence to Kangkang Zhang.

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Zhang, K., Gu, E. & Lu, J. Setting up a heart rate alarm limit to decrease oculocardiac reflex during strabismus surgery in children. Front. Med. China 2, 295–297 (2008). https://doi.org/10.1007/s11684-008-0056-4

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  • DOI: https://doi.org/10.1007/s11684-008-0056-4

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