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Respiratory arrest and convulsions after peribulbar anesthesia
V Rozentsveig1, R Yagev, N Wecksler
1Division of Anesthesiology, Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel. Weksler@bgumal.bgu.ac.il
Journal of Cataract and Refractive Surgery
|June 16, 2001
Summary
A rare complication of peribulbar anesthesia during cataract surgery led to respiratory arrest and convulsions. This case highlights the need for anesthesiologists skilled in airway management during peribulbar blocks.
Area of Science:
- Ophthalmology
- Anesthesiology
- Neurosurgery
Background:
- Cataract surgery is a common procedure.
- Peribulbar anesthesia is frequently used for ophthalmic procedures.
- Complications from anesthesia require prompt recognition and management.
Observation:
- A patient undergoing cataract surgery experienced respiratory arrest and convulsions.
- This severe complication occurred following peribulbar anesthesia.
- Respiratory arrest is a known risk of retrobulbar anesthesia, but rarely reported with peribulbar anesthesia.
Findings:
- This case represents a rare instance of respiratory arrest and convulsions after peribulbar anesthesia.
- The complication underscores potential risks associated with peribulbar blocks.
- Immediate availability of anesthesiologists trained in advanced airway support is crucial.
Implications:
- Anesthesiologists must be prepared for serious complications during peribulbar anesthesia.
- Enhanced vigilance and preparedness for respiratory compromise are necessary.
- This case may prompt a review of safety protocols for peribulbar anesthesia.