睑板腺囊肿手术中眼睑皮肤注射布比卡因后出现心搏停止事件。

An asystolic event after eyelid skin bupivicaine injection during chalazion surgery.

作者信息

Katowitz William R, O'Brien Meghan, Kiskis Eris, Elliott Elizabeth M

机构信息

Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania; The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania.

出版信息

J AAPOS. 2016 Feb;20(1):75-7. doi: 10.1016/j.jaapos.2015.09.010.

DOI:10.1016/j.jaapos.2015.09.010

PMID:26917079

Abstract

We report an asystolic event in an 8-year-old girl under general anesthesia that occurred after bupivicaine was injected into the eyelid during routine chalazion incision and drainage surgery. Because the bupivacaine was injected directly into the subcuticular space and not intravascularly, we concluded that the patient's asystolic event was induced by an oculocardiac reflex.

摘要

我们报告了一例8岁女童在全身麻醉下发生的心搏停止事件，该事件发生在常规睑板腺囊肿切开引流手术中向眼睑注射布比卡因之后。由于布比卡因是直接注射到皮下组织而非血管内，我们得出结论，患者的心搏停止事件是由眼心反射引起的。