PubTransformer

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PMID- 29673326
OWN - NLM
STAT- MEDLINE
DCOM- 20180430
LR  - 20180501
IS  - 1471-2415 (Electronic)
IS  - 1471-2415 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Apr 19
TI  - Surgical factors affecting oculocardiac reflex during strabismus surgery.
PG  - 103
LID - 10.1186/s12886-018-0771-9 [doi]
AB  - BACKGROUND: To investigate surgical factors associated with the occurrence of
      oculocardiac reflex (OCR) and changes in heart rate (HR) during strabismus
      surgery. METHODS: Patients who underwent strabismus surgery under general
      anesthesia were enrolled in this study. The HR during surgery was measured at
      baseline, and at the following points during surgery: traction of the muscle,
      maximal increase after traction (adrenergic phase), and the cutting of the
      muscle. OCR was defined as an HR reduction of more than 20% at traction of the
      muscle, when compared to baseline HR. The HR at each stage during the surgery was
      compared between patients with and without OCR. RESULTS: A total of 162 operated 
      muscles from 99 patients were enrolled. The incidence of OCR was 65% in patients.
      In patients with two muscle surgeries, there were significantly more OCRs in the 
      first operated muscle than in the second operated muscle (p < 0.01). The
      difference in the decrease in HR in patients with OCR was significantly lower
      than that in patients without OCR at traction of the muscle, the adrenergic
      phase, and the cutting of the muscle (all, p < 0.01). The first operated muscle
      was a significant risk factor associated with the occurrence of OCR (OR = 3.95, p
      < 0.01). CONCLUSION: The first operated muscle in patients with two muscle
      surgeries was a significant risk factor for OCR. Decreased HR at the traction of 
      the muscle during surgery did not fully recover in patients with OCR.
FAU - Ha, Suk-Gyu
AU  - Ha SG
AD  - Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
AD  - Department of Ophthalmology, Korea University Anam Hospital, 73, Inchon-ro,
      Seongbuk-gu, Seoul, 02841, South Korea.
FAU - Huh, Jungah
AU  - Huh J
AD  - Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
AD  - Department of Ophthalmology, Korea University Anam Hospital, 73, Inchon-ro,
      Seongbuk-gu, Seoul, 02841, South Korea.
FAU - Lee, Bo-Ram
AU  - Lee BR
AD  - Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
AD  - Department of Ophthalmology, Korea University Anam Hospital, 73, Inchon-ro,
      Seongbuk-gu, Seoul, 02841, South Korea.
FAU - Kim, Seung-Hyun
AU  - Kim SH
AD  - Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. 
      [email protected]
AD  - Department of Ophthalmology, Korea University Anam Hospital, 73, Inchon-ro,
      Seongbuk-gu, Seoul, 02841, South Korea. [email protected]
LA  - eng
PT  - Journal Article
DEP - 20180419
PL  - England
TA  - BMC Ophthalmol
JT  - BMC ophthalmology
JID - 100967802
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Heart Rate/physiology
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Oculomotor Muscles/*surgery
MH  - Reflex, Oculocardiac/*physiology
MH  - Risk Factors
MH  - Strabismus/*surgery
MH  - Young Adult
PMC - PMC5909212
OTO - NOTNLM
OT  - Oculocardiac reflex
OT  - Strabismus
OT  - Surgery
EDAT- 2018/04/21 06:00
MHDA- 2018/05/01 06:00
CRDT- 2018/04/21 06:00
PHST- 2017/05/08 00:00 [received]
PHST- 2018/04/11 00:00 [accepted]
PHST- 2018/04/21 06:00 [entrez]
PHST- 2018/04/21 06:00 [pubmed]
PHST- 2018/05/01 06:00 [medline]
AID - 10.1186/s12886-018-0771-9 [doi]
AID - 10.1186/s12886-018-0771-9 [pii]
PST - epublish
SO  - BMC Ophthalmol. 2018 Apr 19;18(1):103. doi: 10.1186/s12886-018-0771-9.