Vitreoretinal Surgery Under Sub-Tenon’s Block and Conscious Sedation in a Patient with Brugada Syndrome: A Case Report and Literature Review

: Brugada syndrome (BrS), a type of sudden arrhythmic unexpected death syndrome (SADS), is characterized by specific electrocardiogram (ECG) changes, a structurally normal heart, and susceptibility to life-threatening ventricular arrhythmias. General anesthesia (GA) is usually used for major surgery in patients with BrS due to concerns that some local anesthetic agents may precipitate critical arrhythmias. The majority of ophthalmic surgeries are successfully carried out under regional anesthesia (RA). The literature does not address the use of ophthalmic RA in patients with BrS except one report of peribulbar block for glaucoma surgery. The clinical case and literature review suggest that the sub-Tenon’s block and conscious sedation may be the primary anesthetic technique in a patient with BrS vitreoretinal surgery.

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Computerized Tomography-Guided Core-Needle Biopsy of Orbital Space-Occupying Lesions: A Case Series

Ocular Oncology and Pathology ◽

10.1159/000510867 ◽

2020 ◽

pp. 1-8

Author(s):

Bashar M. Bata ◽

Andrew Martin ◽

Daniel Connolly ◽

Hardeep Singh Mudhar ◽

Naomi Hersey ◽

...

Keyword(s):

Computerized Tomography ◽

Neuroendocrine Tumour ◽

Case Series ◽

B Cell Lymphoma ◽

Major Surgery ◽

Open Biopsy ◽

Core Needle ◽

Peribulbar Block ◽

Orbital Space ◽

Mass Lesions

Purpose: To describe our experience in performing biopsy of post-septal orbital masses with core needle under computerized tomography guidance (CT-CNB). Methods: The medical records of all patients who underwent this procedure were reviewed. The procedure was performed under local anesthesia on a day case basis under a peribulbar block. A planning non-contrast computerized tomography (CT) scan of the orbits was performed to localise the mass. A 6-cm 18-G Temno Evolution® semi-automated biopsy needle was inserted through the skin into the orbit. Prior to further advancement of the needle, a low-dose CT limited to the previously determined plane was performed to confirm its position. The needle was then advanced, and the cutting needle was deployed to obtain the biopsy. Results: Five patients who underwent CT-CNB were identified. The CNB was successful in 4 patients and revealed a metastatic prostate adenocarcinoma, diffuse large B-cell lymphoma, a metastatic neuroendocrine tumour, and orbital inflammatory disease. The biopsy failed in the fifth patient when the needle failed to penetrate the tumour despite good localisation on CT. He was eventually diagnosed with fibrous meningioma of the greater wing of sphenoid on open biopsy. None of the patients had any complications other than peri-ocular bruising which was present in all of them. Conclusion: CT-CNB of mass lesions located in the lateral aspect of the orbit can be an alternative to open biopsy in selected cases. It avoids major surgery and allows the use of radiotherapy, if required, without any delay.

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Comparative study of the effect of adding two different doses of dexmedetomidine to levobupivacaine/hyaluronidase mixture on the peribulbar block in vitreoretinal surgery

Ain-Shams Journal of Anaesthesiology ◽

10.4103/1687-7934.139576 ◽

2014 ◽

Vol 7 (3) ◽

pp. 393 ◽

Cited By ~ 4

Author(s):

HalaS El-Ozairy ◽

AymanI Tharwat

Keyword(s):

Comparative Study ◽

Vitreoretinal Surgery ◽

Peribulbar Block ◽

Different Doses

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Major Surgery and Anesthetic Technique in Epidermolysis Bullosa

Military Medicine ◽

10.7205/milmed.169.2.125 ◽

2004 ◽

Vol 169 (2) ◽

pp. 125-127 ◽

Cited By ~ 4

Author(s):

Mahmut Kömürcü ◽

Ferruh Bilgin ◽

Ercan Kurt ◽

A. Sabri Atesalp

Keyword(s):

Epidermolysis Bullosa ◽

Major Surgery ◽

Anesthetic Technique

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Intraoperative Blood Loss during Induced Abortion: A Comparison of Anesthetics

Anesthesiology Research and Practice ◽

10.1155/2018/4051896 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Camille A. Clare ◽

Gabrielle E. Hatton ◽

Neela Shrestha ◽

Michael Girshin ◽

Andre Broumas ◽

...

Keyword(s):

Blood Loss ◽

Retrospective Chart Review ◽

First Trimester ◽

Induced Abortion ◽

Anesthetic Technique ◽

Anesthetic Techniques ◽

Intraoperative Blood Loss ◽

Anesthetic Agents ◽

Dilatation And Curettage ◽

Increased Risk

Objective. To determine whether there is a difference in intraoperative bleeding with inhalational versus noninhalational anesthetic agents for patients undergoing suction dilatation and curettage for first-trimester induced abortion.Methods. This is an IRB-approved retrospective chart review of the electronic medical records of patients undergoing induced abortion at gestational ages between 5 0/7 and 14 0/7 weeks of pregnancy at the New York City Health + Hospitals/Metropolitan. The records of 138 patients who underwent suction dilatation and curettage for induced abortion between June 2012 and June 2014 were reviewed for an association between anesthetic technique and intraoperative hemorrhage. Twenty patients received inhalational anesthetic agents, while 118 received intravenous anesthetics. Blood loss was estimated by the operating gynecologists.Results. The mean intraoperative blood loss for inhalational anesthetics (113.6 ml) was significantly higher than with noninhalational agents (40.2 ml) (p=0.007). Age, body mass index, and gestational age were not statistically different between the groups; the number of methylergonovine doses at induced abortion trended higher with inhalation anesthetics.Conclusions. The difference in blood loss between the two types of anesthetic techniques was statistically significant. These findings may be important for patients with significant anemia or at an increased risk of bleeding, such as those with unrecognized coagulopathies.

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Is peribulbar block safe and efficient for vitreoretinal surgery in outpatients?

Regional Anesthesia and Pain Medicine ◽

10.1016/j.rapm.2005.07.135 ◽

2005 ◽

Vol 30 (5) ◽

pp. 50-50

Author(s):

S PETROVIC ◽

Z IGNJATOVIC ◽

Z KULJACA ◽

B MILICIC ◽

N DZAKOVIC ◽

...

Keyword(s):

Vitreoretinal Surgery ◽

Peribulbar Block

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Benign Lymphoid Hyperplasia of the Tongue Masquerading as Carcinoma: Case Report and Literature Review

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-6-3-111 ◽

2005 ◽

Vol 6 (3) ◽

pp. 111-119 ◽

Cited By ~ 5

Author(s):

Sunitha Carnelio ◽

Gabriel Rodrigues

Keyword(s):

Case Report ◽

Literature Review ◽

Lymphoid Hyperplasia ◽

Germinal Centers ◽

Major Surgery ◽

Benign Lymphoid Hyperplasia ◽

Mononuclear Infiltrate ◽

Carcinoma Of The Tongue

Abstract Lymphoid hyperplasia of the tongue is a very rare benign lymphoproliferative lesion that closely resembles carcinoma or lymphoma, clinically or histopathologically. A case of benign lymphoid hyperplasia (BLH) of the tongue is reported. Clinically this lesion presented as a painless ulcer, which mimicked carcinoma of the tongue. Microscopy showed typical histologic features of multiple germinal centers with a rim of small mature lymphocytes together with a mixed, mainly mononuclear infiltrate which clinched the diagnosis of benign lymphoid hyperplasia. This diagnosis averted extensive investigations and major surgery. The etiology of these lesions is unknown. Their distinction from carcinoma and lymphoma is discussed. Citation Carnelio S, Rodrigues G. Benign Lymphoid Hyperplasia of the Tongue Masquerading as Carcinoma: Case Report and Literature Review. J Contemp Dent Pract 2005 August;(6)3:111-119.

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