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Canadian Journal of Anesthesia, Vol 44, 732-734, Copyright © 1997 by Canadian Anesthesiologists' Society

ARTICLES

Brainstem anaesthesia after peribulbar anaesthesia

RS Gomez, LO Andrade and JR Costa
Departamento de Cirurgia, Faculdade de Medicina UFMG, Hospital das Clinicas UFMG, Belo Horizonte, Minas Gerais, Brasil.

PURPOSE: To present a case of brainstem anaesthesia as a complication of peribulbar anaesthesia. CLINICAL FEATURES: A 75-yr-old woman received peribulbar anaesthesia for cataract surgery. A few seconds after the block performed, she had a respiratory arrest, became unconscious, and developed hypertension and tachycardia followed by hypotension and bradycardia. Ventilatory and haemodynamic support were performed before the patient regained adequate spontaneous breathing, and normal heart rate and blood pressure. CONCLUSION: Peribulbar anaesthesia generally carries a low risk of serious complications. However, respiratory arrest and brainstem anaesthesia may occur as complications of peribulbar blocks.




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Copyright © 1997 by the Canadian Anesthesiologists' Society.