title: An asystolic event after eyelid skin bupivicaine injection during chalazion surgery.
abstract: We report an asystolic event in an 8-year-old girl under general anesthesia that occurred after bupivicaine was injected into the eyelid during routine chalazion incision and drainage surgery. Because the bupivacaine was injected directly into the subcuticular space and not intravascularly, we concluded that the patient's asystolic event was induced by an oculocardiac reflex.
authors.affiliation: Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania; The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: katowitzw@email.chop.edu.
authors.forename: William R
authors.initials: WR
authors.lastname: Katowitz
authors.affiliation: Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Meghan
authors.initials: M
authors.lastname: O'Brien
authors.affiliation: Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Eris
authors.initials: E
authors.lastname: Kiskis
authors.affiliation: Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania; The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Elizabeth M
authors.initials: EM
authors.lastname: Elliott
mesh_terms: D000768:Anesthesia, General; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects*; D017043:Chalazion / Q000601:surgery*; D002648:Child; D004562:Electrocardiography; D005143:Eyelids / Q000187:drug effects*; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced*; D006339:Heart Rate; D006801:Humans; D007271:Injections, Intradermal; D012024:Reflex, Oculocardiac / Q000187:drug effects*
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine