Evidence map›Paper›PMID 36187280›Full record

ArticlePlastic and reconstructive surgery. Global open2022

Asystole Due to Oculocardiac Reflex during Surgical Repair of an Orbital Blowout Fracture.

Yoshihiro Toyohara, Nanako Mito, Shiho Nakagawa, Kotaro Yoshimura, Ataru Sunaga

Abstract readCase Reports
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yoshihiro ToyoharaDepartment of Pediatric Plastic Surgery, Jichi Children's Medical Center Tochigi, Tochigi, Japan.
Nanako MitoDepartment of Pediatric Plastic Surgery, Jichi Children's Medical Center Tochigi, Tochigi, Japan.
Shiho NakagawaDepartment of Pediatric Plastic Surgery, Jichi Children's Medical Center Tochigi, Tochigi, Japan.
Kotaro YoshimuraDepartment of Pediatric Plastic Surgery, Jichi Children's Medical Center Tochigi, Tochigi, Japan.
Ataru SunagaDepartment of Pediatric Plastic Surgery, Jichi Children's Medical Center Tochigi, Tochigi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bradycardia and asystole due to oculocardiac reflex (OCR) are potential intraoperative complications of periocular surgery. We report a case of asystole due to OCR that occurred during surgical repair performed 40 hours after an orbital blowout fracture. The patient had vomiting, bradycardia, and ocular motility disorder before the operation. During the operation, asystole occurred when the entrapped tissue was grasped with forceps. After administration of anticholinergic drugs, the heart promptly resumed beating, and no sequelae due to asystole were observed after surgery. Before and during periocular surgery, it is important for the surgeon to maintain a protective surgical procedure and communicate appropriately with the anesthesiologist, including discussion of risks and emergency measures. In addition, prolonged entrapment of the extraocular muscles is likely to cause irreversible damage, so it is important to make a diagnosis and perform surgery as soon as possible.

Identifiers

PMID36187280
PMCPMC9521747

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.