Sneezing reflex associated with intravenous sedation and periocular anesthetic injection.

Abstract:

PURPOSE:To assess and compare the frequency of reflex sneezing occurring during periocular anesthetic injections with and without intravenous sedation. DESIGN:Retrospective, comparative case series. METHODS:Seven hundred and twenty-two patients undergoing oculoplastic surgical procedures were included in this study. Those who received a periocular anesthetic injection under intravenous sedation served as the test group of 381 subjects. Those who received a periocular anesthetic injection without intravenous sedation served as the control group of 341 subjects. The absence or presence of reflex sneezing in both groups was recorded and compared using Chi-square analysis. RESULTS:Of the 381 patients who received periocular anesthetic injections under intravenous sedation, 19 (5%) exhibited a vigorous sneeze. Conversely, none of the 341 patients who received periocular anesthetic injections without intravenous sedation sneezed (P < or = .001). CONCLUSIONS:Surgeons, anesthesia staff, and other operating room personnel should be aware of this unusual and potentially dangerous sneeze phenomenon when periocular anesthetic injections are delivered under intravenous sedation to reduce potential ocular complications.

journal_name

Am J Ophthalmol

authors

Ahn ES,Mills DM,Meyer DR,Stasior GO

doi

10.1016/j.ajo.2008.02.013

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

31-5

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(08)00149-9

journal_volume

146

pub_type

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