nasocardiac reflex

Sudden bradycardia and hypotension as a result of Nasocardiac reflex was manifested in a fit young man during the surgical procedure of septoplasty. Adequate monitoring is of paramount importance in all rhinological procedures and drug of choice during such event is intravenous atropine

Oculocardiac reflex during excision of periorbital tumor - a case report

The occurrence of oculocardiac reflex causing severe bradycardia and hypotension during the excision of a large, hemorrhagic, periorbital tumor in a 66 year old male is presented. The reflex occurred despite complete destruction of the eye by the tumor. Intravenous atropine, 0.5 mg, restored both the heart rate and blood pressure and prevented further occurrence of the reflex during the rest of the operation

Gas exchange during microsurgery of the larynx using foley catheter insufflation technique: prelim results

The technique of insufflating anesthetic gases via oro-tracheal Rusch type Foley catheter with spontaneous ventilation for microsurgery of the larynx is described. Fifteen unselected patients were used to assess the adequacy of gas exchange with this technique. Arterial blood gas analysis was carried out 5 minutes and 25 minutes after induction of anesthesia. The results at 25 minutes indicate adequate gas exchange. There was a significant increase in the PaO2 at 25 minutes but the decrease in PaCO2 at 25 minutes was insignificant. The technique also provided very satisfactory conditions for surgery with only minimal risk of gross tracheal soiling. No dysrhythmias were encountered and there was hemodynamic stability in all cases