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Brainstem Anaesthesia Following Intranasal Packing with Lignocaine and Adrenaline


Affiliations
1 KIMS, Hubli, India

Brainstem anaesthesia (BSA) following retrobulbar blocks in ophthalmic surgeries is a rare but well documented complication. But thus, so far, no cases of BSA following intranasal packing with lignocaine and adrenaline is reported. BSA manifests clinically as a wide range of symptoms including aphasia, apnea, bradycardia, tachycardia, cyanosis, impaired hearing, cardiac arrest, confusion, diaphoresis, dilatation of the contralateral pupil, drowsiness, dysphagia, facial paralysis, gaze palsy, hypertension, loss of consciousness, nausea and vomiting, seizures and shivering.

Keywords

Adrenaline, Brainstem Anaesthesia, Intranasal Packing, Lignocaine.
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  • Johnson NJ, Hanson LR, and Frey WH. Trigeminal pathways deliver a low molecular weight drug from the nose to the brain and orofacial structures. Mol Pharm. 2010; 7(3): 884-93.
  • Chin YC and Kumar CM. Trends in Anaesthesia and Critical Care. Elsevier. 2013; 252-56.

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  • Brainstem Anaesthesia Following Intranasal Packing with Lignocaine and Adrenaline

Abstract Views: 108  | 

Authors

Vinod Gasti
KIMS, Hubli, India
Madhuri Kurdi
KIMS, Hubli, India
Sushma Sampath
KIMS, Hubli, India
Raghvendra Bhosale
KIMS, Hubli, India

Abstract


Brainstem anaesthesia (BSA) following retrobulbar blocks in ophthalmic surgeries is a rare but well documented complication. But thus, so far, no cases of BSA following intranasal packing with lignocaine and adrenaline is reported. BSA manifests clinically as a wide range of symptoms including aphasia, apnea, bradycardia, tachycardia, cyanosis, impaired hearing, cardiac arrest, confusion, diaphoresis, dilatation of the contralateral pupil, drowsiness, dysphagia, facial paralysis, gaze palsy, hypertension, loss of consciousness, nausea and vomiting, seizures and shivering.

Keywords


Adrenaline, Brainstem Anaesthesia, Intranasal Packing, Lignocaine.

References





DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP045