Open AccessAnesthetic Impacts on the Oculocardiac Reflex: Evidence from a Large, Observational Study
Author(s) -
Robert W. Arnold,
Stephen Jansen,
Joseph C Seelig,
Mikhail Glasionov,
Russell Biggs,
Brion J. Beerle
Publication year - 2021
Publication title -
clinical ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 56
eISSN - 1177-5483
pISSN - 1177-5467
DOI - 10.2147/opth.s300860
Subject(s) - medicine , oculocardiac reflex , anesthesia , dexmedetomidine , anesthetic , bradycardia , heart rate , extraocular muscles , strabismus surgery , reflex , anticholinergic , anticholinergic agents , sedation , strabismus , ophthalmology , blood pressure
The oculocardiac reflex (OCR) is a sudden vagal bradycardia that can be elicited by traction on an extraocular muscle. Bradycardia is highly variable from case to case necessitating a large sample size to observe small to moderate impact on OCR. While the surgeon's tissue manipulation has immediate impact on OCR and individual patients may have some proclivity to OCR, we sought to characterize the impact on OCR by the anesthesiologist.