Oculocardiac Reflex as a Result of Intraorbital Trauma
Abstract Background The oculocardiac reflex is a decrease in heart rate caused by ocular compression or traction upon the extraocular musculature. Multiple instances of this phenomenon have been described in anesthesia, trauma, craniofacial, and ophthalmology literature, but there is a sparsity of d...
Gespeichert in:
| Veröffentlicht in: | The Journal of emergency medicine 2017-04, Vol.52 (4), p.557-558 |
|---|---|
| Hauptverfasser: | , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 558 |
|---|---|
| container_issue | 4 |
| container_start_page | 557 |
| container_title | The Journal of emergency medicine |
| container_volume | 52 |
| creator | Fahling, Joel M., MS McKenzie, L. Kendall, MD |
| description | Abstract Background The oculocardiac reflex is a decrease in heart rate caused by ocular compression or traction upon the extraocular musculature. Multiple instances of this phenomenon have been described in anesthesia, trauma, craniofacial, and ophthalmology literature, but there is a sparsity of documentation in the emergency medicine literature. Case Report We describe the observation and management of the oculocardiac reflex in a 26-year-old man with retrobulbar hematoma and intraocular trauma caused by a self-inflicted gunshot wound. Why Should an Emergency Physician Be Aware of This? Prompt recognition of the oculocardiac reflex is important for the emergency physician given the common occurrence of craniofacial trauma and the potentially devastating consequences if not recognized and addressed. |
| doi_str_mv | 10.1016/j.jemermed.2016.08.022 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1835397912</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0736467916306813</els_id><sourcerecordid>1835397912</sourcerecordid><originalsourceid>FETCH-LOGICAL-c423t-15ca2e11424dba01855ac4ebe58465e1cd61352eeacc18dfad5afba87be986313</originalsourceid><addsrcrecordid>eNqFkU1v1jAMxyMEYg-DrzD1yKUlTpo0vSDQxMakSZPYdo7c1JVS0nYkLWLfnlTPngsXTrblv99-ZuwCeAUc9KexGmmiOFFfiRxX3FRciFfsIKQSpeKifc0OvJG6rHXTnrF3KY2cQ8MNvGVnomlEw2s4MH3ntrA4jL1HV_ygIdCfAlOB2U9bWItlKG7mNeISO79iKB4ibhO-Z28GDIk-vNhz9nj17eHye3l7d31z-fW2dLWQawnKoSCAWtR9hxyMUuhq6kiZWisC12vI-xKhc2D6AXuFQ4em6ag1WoI8Zx-PfZ_i8mujtNrJJ0ch4EzLliwYqWTbtCCyVB-lLi4pRRrsU_QTxmcL3O7M7GhPzOzOzHJjM7NcePEyY-v23KnsBCkLvhwFlC_97Sna5DzNjnofya22X_z_Z3z-p4ULfvYOw096pjQuW5wzRws2Ccvt_f65_XGgJdcGpPwLsrmVBw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1835397912</pqid></control><display><type>article</type><title>Oculocardiac Reflex as a Result of Intraorbital Trauma</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Fahling, Joel M., MS ; McKenzie, L. Kendall, MD</creator><creatorcontrib>Fahling, Joel M., MS ; McKenzie, L. Kendall, MD</creatorcontrib><description>Abstract Background The oculocardiac reflex is a decrease in heart rate caused by ocular compression or traction upon the extraocular musculature. Multiple instances of this phenomenon have been described in anesthesia, trauma, craniofacial, and ophthalmology literature, but there is a sparsity of documentation in the emergency medicine literature. Case Report We describe the observation and management of the oculocardiac reflex in a 26-year-old man with retrobulbar hematoma and intraocular trauma caused by a self-inflicted gunshot wound. Why Should an Emergency Physician Be Aware of This? Prompt recognition of the oculocardiac reflex is important for the emergency physician given the common occurrence of craniofacial trauma and the potentially devastating consequences if not recognized and addressed.</description><identifier>ISSN: 0736-4679</identifier><identifier>EISSN: 2352-5029</identifier><identifier>DOI: 10.1016/j.jemermed.2016.08.022</identifier><identifier>PMID: 27727041</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aschner phenomenon ; Bradycardia - etiology ; cantholysis ; Emergency ; Emergency Service, Hospital - organization & administration ; Eye - innervation ; Eye - physiopathology ; facial trauma ; Humans ; lateral canthotomy ; Male ; Mandibular Fractures - etiology ; oculocardiac reflex ; Optic Nerve - pathology ; Orbital Fractures - etiology ; Reflex, Oculocardiac - physiology ; Retrobulbar Hemorrhage - etiology ; Retrobulbar Hemorrhage - surgery ; Suicide, Attempted ; Tomography, X-Ray Computed - methods ; Wounds and Injuries - complications ; Wounds and Injuries - surgery ; Wounds, Gunshot - complications ; Wounds, Gunshot - surgery</subject><ispartof>The Journal of emergency medicine, 2017-04, Vol.52 (4), p.557-558</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-15ca2e11424dba01855ac4ebe58465e1cd61352eeacc18dfad5afba87be986313</citedby><cites>FETCH-LOGICAL-c423t-15ca2e11424dba01855ac4ebe58465e1cd61352eeacc18dfad5afba87be986313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jemermed.2016.08.022$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27727041$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fahling, Joel M., MS</creatorcontrib><creatorcontrib>McKenzie, L. Kendall, MD</creatorcontrib><title>Oculocardiac Reflex as a Result of Intraorbital Trauma</title><title>The Journal of emergency medicine</title><addtitle>J Emerg Med</addtitle><description>Abstract Background The oculocardiac reflex is a decrease in heart rate caused by ocular compression or traction upon the extraocular musculature. Multiple instances of this phenomenon have been described in anesthesia, trauma, craniofacial, and ophthalmology literature, but there is a sparsity of documentation in the emergency medicine literature. Case Report We describe the observation and management of the oculocardiac reflex in a 26-year-old man with retrobulbar hematoma and intraocular trauma caused by a self-inflicted gunshot wound. Why Should an Emergency Physician Be Aware of This? Prompt recognition of the oculocardiac reflex is important for the emergency physician given the common occurrence of craniofacial trauma and the potentially devastating consequences if not recognized and addressed.</description><subject>Adult</subject><subject>Aschner phenomenon</subject><subject>Bradycardia - etiology</subject><subject>cantholysis</subject><subject>Emergency</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>Eye - innervation</subject><subject>Eye - physiopathology</subject><subject>facial trauma</subject><subject>Humans</subject><subject>lateral canthotomy</subject><subject>Male</subject><subject>Mandibular Fractures - etiology</subject><subject>oculocardiac reflex</subject><subject>Optic Nerve - pathology</subject><subject>Orbital Fractures - etiology</subject><subject>Reflex, Oculocardiac - physiology</subject><subject>Retrobulbar Hemorrhage - etiology</subject><subject>Retrobulbar Hemorrhage - surgery</subject><subject>Suicide, Attempted</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Wounds and Injuries - complications</subject><subject>Wounds and Injuries - surgery</subject><subject>Wounds, Gunshot - complications</subject><subject>Wounds, Gunshot - surgery</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1jAMxyMEYg-DrzD1yKUlTpo0vSDQxMakSZPYdo7c1JVS0nYkLWLfnlTPngsXTrblv99-ZuwCeAUc9KexGmmiOFFfiRxX3FRciFfsIKQSpeKifc0OvJG6rHXTnrF3KY2cQ8MNvGVnomlEw2s4MH3ntrA4jL1HV_ygIdCfAlOB2U9bWItlKG7mNeISO79iKB4ibhO-Z28GDIk-vNhz9nj17eHye3l7d31z-fW2dLWQawnKoSCAWtR9hxyMUuhq6kiZWisC12vI-xKhc2D6AXuFQ4em6ag1WoI8Zx-PfZ_i8mujtNrJJ0ch4EzLliwYqWTbtCCyVB-lLi4pRRrsU_QTxmcL3O7M7GhPzOzOzHJjM7NcePEyY-v23KnsBCkLvhwFlC_97Sna5DzNjnofya22X_z_Z3z-p4ULfvYOw096pjQuW5wzRws2Ccvt_f65_XGgJdcGpPwLsrmVBw</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Fahling, Joel M., MS</creator><creator>McKenzie, L. Kendall, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Oculocardiac Reflex as a Result of Intraorbital Trauma</title><author>Fahling, Joel M., MS ; McKenzie, L. Kendall, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-15ca2e11424dba01855ac4ebe58465e1cd61352eeacc18dfad5afba87be986313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aschner phenomenon</topic><topic>Bradycardia - etiology</topic><topic>cantholysis</topic><topic>Emergency</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>Eye - innervation</topic><topic>Eye - physiopathology</topic><topic>facial trauma</topic><topic>Humans</topic><topic>lateral canthotomy</topic><topic>Male</topic><topic>Mandibular Fractures - etiology</topic><topic>oculocardiac reflex</topic><topic>Optic Nerve - pathology</topic><topic>Orbital Fractures - etiology</topic><topic>Reflex, Oculocardiac - physiology</topic><topic>Retrobulbar Hemorrhage - etiology</topic><topic>Retrobulbar Hemorrhage - surgery</topic><topic>Suicide, Attempted</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Wounds and Injuries - complications</topic><topic>Wounds and Injuries - surgery</topic><topic>Wounds, Gunshot - complications</topic><topic>Wounds, Gunshot - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fahling, Joel M., MS</creatorcontrib><creatorcontrib>McKenzie, L. Kendall, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fahling, Joel M., MS</au><au>McKenzie, L. Kendall, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oculocardiac Reflex as a Result of Intraorbital Trauma</atitle><jtitle>The Journal of emergency medicine</jtitle><addtitle>J Emerg Med</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>52</volume><issue>4</issue><spage>557</spage><epage>558</epage><pages>557-558</pages><issn>0736-4679</issn><eissn>2352-5029</eissn><abstract>Abstract Background The oculocardiac reflex is a decrease in heart rate caused by ocular compression or traction upon the extraocular musculature. Multiple instances of this phenomenon have been described in anesthesia, trauma, craniofacial, and ophthalmology literature, but there is a sparsity of documentation in the emergency medicine literature. Case Report We describe the observation and management of the oculocardiac reflex in a 26-year-old man with retrobulbar hematoma and intraocular trauma caused by a self-inflicted gunshot wound. Why Should an Emergency Physician Be Aware of This? Prompt recognition of the oculocardiac reflex is important for the emergency physician given the common occurrence of craniofacial trauma and the potentially devastating consequences if not recognized and addressed.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27727041</pmid><doi>10.1016/j.jemermed.2016.08.022</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0736-4679 |
| ispartof | The Journal of emergency medicine, 2017-04, Vol.52 (4), p.557-558 |
| issn | 0736-4679 2352-5029 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1835397912 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aschner phenomenon Bradycardia - etiology cantholysis Emergency Emergency Service, Hospital - organization & administration Eye - innervation Eye - physiopathology facial trauma Humans lateral canthotomy Male Mandibular Fractures - etiology oculocardiac reflex Optic Nerve - pathology Orbital Fractures - etiology Reflex, Oculocardiac - physiology Retrobulbar Hemorrhage - etiology Retrobulbar Hemorrhage - surgery Suicide, Attempted Tomography, X-Ray Computed - methods Wounds and Injuries - complications Wounds and Injuries - surgery Wounds, Gunshot - complications Wounds, Gunshot - surgery |
| title | Oculocardiac Reflex as a Result of Intraorbital Trauma |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T03%3A52%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Oculocardiac%20Reflex%20as%20a%20Result%20of%20Intraorbital%20Trauma&rft.jtitle=The%20Journal%20of%20emergency%20medicine&rft.au=Fahling,%20Joel%20M.,%20MS&rft.date=2017-04-01&rft.volume=52&rft.issue=4&rft.spage=557&rft.epage=558&rft.pages=557-558&rft.issn=0736-4679&rft.eissn=2352-5029&rft_id=info:doi/10.1016/j.jemermed.2016.08.022&rft_dat=%3Cproquest_cross%3E1835397912%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1835397912&rft_id=info:pmid/27727041&rft_els_id=S0736467916306813&rfr_iscdi=true |