The association between the oculocardiac reflex and post-operative vomiting in children undergoing strabismus surgery

摘要: The oculocardiac reflex (OCR) is a potentially serious complication of ophthalmic surgery which most commonly elicited during paediatric strabismus surgery. Post-operative vomiting (POV) also extremely common after such procedures and may result in admission following planned day-case Although many factors play part the occurrence POV, stimulation trigemino-vagal arc thought to explain particularly high rate OCR vaso-vagal response share this neuronal pathway, bradycardia often being only objective feature while patient anaesthetised. aim study was investigate possible association between subsequent POV children undergoing We have studied relationship 79 children, aged 1 13 years, under standardised anaesthetic conditions. A positive regarded as drop heart 10% or more, onset dysrhythmia. An intraoperative 51 (64.6%) whilst 29 (36.7%) developed 24 h period. There significant (p = 0.01): with were 2.6 times more likely vomit than those without reflex. conclude that there an discuss preventive strategies.