국소마취하 눈꺼풀처짐 교정수술 중 발생하는 안구심반사

• 영문명: Oculocardiac Reflex during Ptosis Operation under Local Anesthesia
• 발행기관: 대한안과학회
• 저자명: 강현구 김근해,Hyun-Gu Kang, M.D., Keun-Hae Kim, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number1, 1~7쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.01.31

영문 초록

Purpose: To evaluate the incidence and examine the development of oculocardiac reflex during ptosis operation under local anesthesia. Methods: Twenty-eight patients (52 eyes) who underwent ptosis operation under local anesthesia participated in this prospective study. We examined the change of heart rate. We also investigated the incidence of oculocardiac reflex and analyzed factors associated with it. Results: The mean preoperative heart rate was 76.06±11.24 beats/min. During local anesthetic injection, skin incision, traction of the central fat pad, traction of the medial fat pad, traction of the levator palpebrae muscle, the mean heart rates were 74.81±12.64 beats/min, 74.73±12.20 beats/min, 73.63±11.73 beats/min, 73.35±12.24 beats/min, 71.44±11.93 beats/min respectively. Hence, the mean heart rate decreased during each successive part of the operation. The oculocardiac reflex was positive in 24 (46.2%) of 52 eyes. There was no significant difference between the incidence of oculocardiac reflex in males and females. The incidence of oculocardiac reflex was highest during traction of the levator palpebrae muscle. Conclusions: During ptosis operation under local anesthesia, oculocardiac reflex can occur. Gentle manipulation of surgical tissues and cardiac monitoring is needed to prevent side effects from oculocardiac reflex.

키워드

Blepharoplasty, Oculocardicac reflex, Ptosis operation