DR. NAFIZ MAHMOODResident , NIO&H

Treat local anaesthesia

as General anaesthesia

in ocular surgery

Treat local anaesthesia

as General anaesthesia

in ocular surgery

S T O R Y

MR . X

OCULAR PROBLEM

After careful examination

MR . X Going FOR

MR . X Going FORO

Ocular

SURGERY

Ocular

SURGERYU

UnderLocal anesthesia

On the day of surgery

STOP

TAKE DETOUR

COMPLICATIONS

• Light headedness• Numbness or tingling of circumoral area• Anxious• Drowsy• Tinnitus • Convulsion • Coma & apnoea • Cardiovascular collapse due to myocardial

depression & vasodilatation HYPOXAEMIA APNOEA

Retrobulbar haemorrhage

Globe penetration

Nerve injury or

Brain stem anaesthesia

Oculo-cardiac reflex

LCN

SCN

CG

TGG

VN

afferent

efferent

CARDIAC ARREST

RESPIRATORY ARREST

What to

do

What to

do h

SOWHY

SOWHY

O

THERB

LETS

build

Pre-operative

Thought

Don’t take L/A lightly

Every patient with L/A should be cannulated

Proper investigations must be done

Be cautious about accidental intravascular

injection

Aspiration test are vital

Proper monitoring facilities should be prepared

G/A facilities with O2 must be available

General condition must be checked

Prevention is

better

as

TREATLL

/A

G/A

THANK YOU

SPECIAL THANKS

Dr. Rubina YasminAssociate Professor

Faculty of AnaesthesiologyNIOH,Dhaka, Bangladesh

Dr. Kanijun Nahar QuadirAssistant Professor

Faculty of AnaesthesiologyNIOH,Dhaka, Bangladesh