Abstract
Catia Sousa Govêia1, Denismar Borges de Miranda2*, Larissa Govêia Moreira3 and Luís Cláudio Araújo Ladeira1 Author Affiliations 1Department of Anesthesiology, Universidade de Brasília, Brasília, Distrito Federal, Brazil 2Municipal Health Department of Goiânia, Goiás, Brazil 3Department of Anesthesiology, Hospital de Base, Brasília, Distrito Federal, Brazil Received: August 10, 2020 | Published: August 24, 2020 Corresponding author: Denismar Borges de Miranda, PhD in Tropical Medicine and Public Health from the Institute of Tropical Pathology and Public Health at the Federal University of Goiás, Physician at the Municipal Health Department of Goiânia, Goiás, Brazil DOI: 10.26717/BJSTR.2020.29.004844
Highlights
Blepharoplasty is considered a high-risk surgery for bleeding complications in ophthalmology, but the incidence of intraorbital hemorrhage is 55 per 100,000 [1]
We describe a case of intraorbital hemorrhage associated with an oculocardiac reflex manifested as arrhythmia during blepharoplasty surgery under local anesthesia and monitored anesthesia care
The use of aspirin is widely indicated in patients at risk for thromboembolic events and its suspension can lead to a rebound effect due to increased thromboxane A2 activity [2]
Summary
Blepharoplasty is considered a high-risk surgery for bleeding complications in ophthalmology, but the incidence of intraorbital hemorrhage is 55 per 100,000 [1]. 62 years old, programmed to upper blepharoplasty under local infiltration anesthesia, sedation and monitored anesthesia care Her personal medical history included an antiphospholipid syndrome and a previous stroke in cerebellum, with sequelae of convulsive episodes. She presented episodes of bradycardia and psychomotor agitation, but remained conscious and became hypertensive At this moment, considering the known etiology of the complication and the fact that the patient remained hemodynamically stable, atropine was not administered. After completing the surgical plan and resolving the left intraorbital hematoma, she was referred to the post-anesthetic recovery room, where she remained monitored and without complaints for two hours She was kept under observation in the ward and was discharged from the hospital six hours later without further complications
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