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Respiratory depression following retrobulbar bupivacaine: three case reports and literature review
D J Rodman1, S Notaro, G L Peer
1Department of Ophthalmology, State University of New York at Buffalo School of Medicine, New York.
Ophthalmic Surgery
|October 1, 1987
Abstract:
Retrobulbar bupivacaine (0.75%) administration has been implicated as a causative factor in respiratory distress, cardiovascular dysfunction, and various central nervous system disturbances. The three cases here demonstrate two separate occurrences of respiratory and central nervous system (CNS) complications following retrobulbar bupivacaine (Marcaine) injection. It is thought that the immediate and delayed occurrences result from inadvertent injection at either of two sites: intravascularly or directly into the membranous sheath surrounding the optic nerve.