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Episode 249: Keywords Part 21: Retrobulbar Blocks and the Oculocardiac Reflex

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

CHAPTER

The Role of the Trochlear Nerve in Rotation

The trochlear nerve remains intact and that Interbates the superior oblique muscle. Horner syndrome is really unlikely here I don't know that I can explain how other than maybe with a hemorrhage It's going to cause central retinor retinal artery occlusion. A patient is given propofol 20 milligrams just before placement of a retro bulburo block With 3 ml of 0.5% bupivicane to provide ocular a canesia for ocular surgery Moments later apnea occurs followed by complete loss of consciousness The most likely etiology to explain this event is a subarachnoid injection of local anesthetic B effects of propofol

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