Eric S Ahn1, David M Mills, Dale R Meyer, George O Stasior. 1. Department of Ophthalmology at Albany Medical Center, Lions Eye Institute, Ophthalmic Plastic Surgery, 1220 New Scotland Avenue, Slingerlands, NY 12159, USA. ahne@mail.amc.edu
Abstract
PURPOSE: To assess and compare the frequency of reflex sneezing occurring during periocular anesthetic injections with and without intravenous sedation. DESIGN: Retrospective, comparative case series. METHODS: Seven hundred and twenty-two patients undergoing oculoplastic surgical procedures were included in this study. Those who received a periocular anesthetic injection under intravenous sedation served as the test group of 381 subjects. Those who received a periocular anesthetic injection without intravenous sedation served as the control group of 341 subjects. The absence or presence of reflex sneezing in both groups was recorded and compared using Chi-square analysis. RESULTS: Of the 381 patients who received periocular anesthetic injections under intravenous sedation, 19 (5%) exhibited a vigorous sneeze. Conversely, none of the 341 patients who received periocular anesthetic injections without intravenous sedation sneezed (P < or = .001). CONCLUSIONS: Surgeons, anesthesia staff, and other operating room personnel should be aware of this unusual and potentially dangerous sneeze phenomenon when periocular anesthetic injections are delivered under intravenous sedation to reduce potential ocular complications.
PURPOSE: To assess and compare the frequency of reflex sneezing occurring during periocular anesthetic injections with and without intravenous sedation. DESIGN: Retrospective, comparative case series. METHODS: Seven hundred and twenty-two patients undergoing oculoplastic surgical procedures were included in this study. Those who received a periocular anesthetic injection under intravenous sedation served as the test group of 381 subjects. Those who received a periocular anesthetic injection without intravenous sedation served as the control group of 341 subjects. The absence or presence of reflex sneezing in both groups was recorded and compared using Chi-square analysis. RESULTS: Of the 381 patients who received periocular anesthetic injections under intravenous sedation, 19 (5%) exhibited a vigorous sneeze. Conversely, none of the 341 patients who received periocular anesthetic injections without intravenous sedation sneezed (P < or = .001). CONCLUSIONS: Surgeons, anesthesia staff, and other operating room personnel should be aware of this unusual and potentially dangerous sneeze phenomenon when periocular anesthetic injections are delivered under intravenous sedation to reduce potential ocular complications.
Authors: Daniel L Chao; Jayanth Sridhar; Ajay E Kuriyan; Theodore Leng; Brad P Barnett; Aaron F Carlin; Charles C Wykoff; Stephen Gayer; Prithvi Mruthyunjaya; Yoshihiro Yonekawa; Amani A Fawzi; Audina M Berrocal; Steven Yeh; Daniel Ting; Yasha Modi; David N Zacks; Nicholas Yannuzzi; Natalie A Afshari; Timothy Murray Journal: J Vitreoretin Dis Date: 2020-07-27