Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cardiopulmonary arrest after retrobular block

R M Rosenblatt, D R May, K Barsoumian

    American Journal of Ophthalmology
    |September 1, 1980
    PubMed
    Summary

    A retrobulbar injection of local anesthetics caused cardiopulmonary arrest in a patient. The patient recovered fully, with the event potentially linked to anesthetic spread via the ophthalmic artery.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    AN APPLICATION OF THE TAXONOME METHOD TO A PLASMODE.

    Multivariate behavioral research·2016
    Same author

    General practitioner referral of patients with lower gastrointestinal symptoms.

    Journal of the Royal Society of Medicine·2010
    Same author

    The epidemiology of serious eye injuries from the United States Eye Injury Registry.

    Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie·2000
    Same author

    Costello syndrome: phenotype, natural history, differential diagnosis, and possible cause.

    The Journal of pediatrics·1998
    Same author

    Employee reactions to ergonomic job design: the moderating effects of health locus of control and self-efficacy.

    Journal of occupational health psychology·1997
    Same author

    Surgical wound defects associated with endophthalmitis.

    Ophthalmic surgery·1994

    Area of Science:

    • Ophthalmology
    • Anesthesiology
    • Neurology

    Background:

    • Retrobulbar injections are common procedures for ophthalmic surgeries.
    • Local anesthetics like bupivacaine and mepivacaine are frequently used for these injections.
    • Potential complications, though rare, include systemic toxicity.

    Observation:

    • A 61-year-old woman suffered cardiopulmonary arrest immediately post-retrobulbar injection.
    • The injection contained bupivacaine HCl, mepivacaine HCl, and hyaluronidase.
    • The patient was resuscitated but remained unconscious for 20 minutes.

    Findings:

    • Complete neurological recovery occurred within two hours post-resuscitation.
    • No long-term adverse effects were observed.
    • The event is hypothesized to result from anesthetic spread through the ophthalmic and internal carotid arteries to the brainstem.

    Implications:

    • This case highlights a rare but serious complication of retrobulbar anesthesia.
    • Understanding anesthetic spread pathways is crucial for preventing systemic toxicity.
    • Prompt resuscitation and recognition of neurological recovery are key management aspects.

    Related Experiment Videos