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- W1995613557 abstract "The oculocardiac reflex was noted m 44 of 66 patients undergoing strabismus surgery Disturbances occurred at the time of extraocular muscle traction in the absence of hypercarbia and hypoxia The oculocardiac reflex proved to be much more active than the vago-vagal reflex associated with intubation Arrhythmias were not produced during intubation of a group of 9 patients, but later 6 of these developed arrhythmias following extraocular muscle traction Fatigue of the oculocardiac reflex following extraocular muscle traction was confirmed Repeated muscle traction with short rest periods either abolished or produced a modified response when the rest periods were lengthened, this response approached that produced by the original traction The danger period is during the first few seconds of muscle traction when slowing of the heart rate is at a maximum Atrial standstill followed by cardiac arrest could occur at this time This critical period may have passed by the time an arrhythmia could have been detected by usual clinical methods Therefore, prevention of the reflex should be instituted before surgery Since a retrobulbar block could precipitate an oculocardiac reflex,8 and its effectiveness is in doubt, perhaps the administration of atropine intravenously a few minutes before ophthalmic surgery would be the method of choice" @default.
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- W1995613557 date "1964-11-01" @default.
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- W1995613557 title "The oculocardiag reflex during strabismus surgery" @default.
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- W1995613557 doi "https://doi.org/10.1007/bf03004107" @default.
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