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[Brainstem anesthesia after peribulbar anesthesia].

H Boret1, D Petit, P Ledantec

  • 1Département d'anesthésie-réanimation, hôpital d'instruction des armées Sainte-Anne, 83500 Toulon-Naval, France. bruno.palmier@free.fr

Annales Francaises D'Anesthesie Et De Reanimation
|December 24, 2002
PubMed
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A rare complication of peribulbar anesthesia during pupilloplasty led to brainstem anesthesia, necessitating mechanical ventilation. While the patient recovered well, this case highlights the risks associated with peribulbar anesthesia.

Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Peribulbar anesthesia is commonly used for ophthalmic procedures.
  • Complications, though rare, can be severe.

Observation:

  • A patient undergoing pupilloplasty under peribulbar anesthesia developed brainstem anesthesia.
  • This required tracheal intubation and mechanical ventilation.

Findings:

  • The most likely cause was an accidental subarachnoid (intrathecal) injection of local anesthetic.
  • Using shorter needles may reduce the risk of this complication.

Implications:

  • Peribulbar anesthesia, despite precautions, carries significant risks.
  • Anesthesiologists and ophthalmologists must be aware of potential severe complications.

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