Life-threatening complication of retrobulbar block. A hypothesis.

Abstract:

:After routine retrobulbar injection of a 4-ml 1:1 mixture of 0.75% bupivacaine, and of 2% lidocaine and one ampule of hyaluronidase for cataract extraction, the patient sustained bilateral opthalmoplegia, blindness, central respiratory arrest, and loss of consciousness. Neurologic examination shortly thereafter suggests that this may be a result of accidental subarachnoid injection. Prompt recognition and treatment reversed a life-threatening situation.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Brookshire GL,Gleitsmann KY,Schenk EC

doi

10.1016/s0161-6420(86)33543-7

subject

Has Abstract

pub_date

1986-11-01 00:00:00

pages

1476-8

issue

11

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(86)33543-7

journal_volume

93

pub_type

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