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Case Reports
. 2017 Aug;45(4):231-233.
doi: 10.5152/TJAR.2017.95881. Epub 2017 Aug 1.

Complication of Peribulbar Block: Brainstem Anaesthesia

Leyla Kazancıoğlu  1 , Şule Batçık  1 , Hızır Kazdal  1 , Ahmet Şen  1 , Berrak Şekeryapan Gediz  2 , Başar Erdivanlı  1
Affiliations
Case Reports

Complication of Peribulbar Block: Brainstem Anaesthesia

Leyla Kazancıoğlu et al. Turk J Anaesthesiol Reanim. 2017 Aug.

Abstract

Peribulbar block is used to obtain anaesthesia and akinesia of the eye by injecting a local anaesthetic around the musclecone. A patient scheduled for cataract surgery received peribulbar block with 6 mL of 2% lidocaine hydrochloride. Following the injection, confusion, hypotension and dilatation of the contralateral pupil rapidly progressed to loss of consciousness and respiratory arrest. The patient was intubated and mechanically ventilated for 30 min. The patient regained her consciousness, was extubated and transferred to the intensive care unit for further follow-up. Although brainstem anaesthesia because of peribulbar block is very rare, this procedure should be performed with complete monitorisation and resuscitation equipment.

Keywords: Peribulbar anaesthesia; brainstem anaesthesia; patient monitarisation; respiratory arrest.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

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