A 5 year old healthy child is undergoing strabismus surgery with a Laryngeal mask airway in place. Thirty minutes into the procedure, his heart rate is 60 bpm, blood pressure is 90/60 mmHg, and oximeter shows 98% saturation. The next step in management is
Correct Answer: Inform surgeon, administer atropine
Description: Traction on extra ocular muscles can result in Oculo cardiac reflex, that consists of trigeminal afferent and vagal efferent pathway.
Management of oculo-cardiac reflex
Immediate cessation of surgery
Adequate oxygenation
Give i.v Atropine
Infiltrate Rectus muscles with local anaesthetic
Category:
Anaesthesia
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