Transient cortical blindness after resuscitation in a child having central venous catheterization under general anesthesia

Ye, Xuan-De; Liu, Kang; Chang, Ting-Hang; Shan, Chen Ming; Wang, Yuren; Wu, Su-Zhen

doi:10.1111/j.1460-9592.2005.01674.x

Cited by 4 publications

(5 citation statements)

References 27 publications

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“…In the literature, there are rare reports of pediatric visual loss in the peri-operative period [8]. Cortical blindness may be transient as our case or as described by Ye et al [18]. …”

Section: Discussionmentioning

confidence: 66%

Cortical blindness after complicated general anesthesia in urological surgery

Rahimzadeh

2013

Am J Case Rep

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Patient: Male, 4Final Diagnosis: Cortical blindness after complicated general anesthesiaSymptoms: Blindness • fine motor activity derangementsMedication: —Clinical Procedure: General anesthesia for unilateral inguinal hydrocelectomySpecialty: AnesthesiologyObjective:Rare diseaseBackground:We report a case of transient cortical blindness after urological surgery.Case Report:We present the case of a 4-year-old boy with visual loss following complicated general anesthesia during urological surgery. The results of ophthalmological examinations were normal. The complication was diagnosed as cortical blindness after obtaining an extinguished flash visual-evoked potential (flash VEP). The visual acuity persisted to be hand motion after 4 months.Conclusions:We report a very rare case of cortical blindness after urological surgery. Unrecognized causes of cortical blindness are common in the children. Because of the long survival and increasing surgical management in this age group, it is of great importance and perhaps it will be necessary to alert parents about it. Anesthesiologists have a unique opportunity to facilitate positive outcomes for these patients through risk identification and appropriate management.

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“…In the literature, there are rare reports of pediatric visual loss in the peri-operative period [8]. Cortical blindness may be transient as our case or as described by Ye et al [18]. …”

Section: Discussionmentioning

confidence: 66%

Cortical blindness after complicated general anesthesia in urological surgery

Rahimzadeh

2013

Am J Case Rep

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“…It is also an important point to consider that high plasma concentrations of these drugs are necessary in treating patients before performing emergent hemodialysis. The additive cardiac depressing effects of general anesthesia with these drugs as well as the hypovolemia resulting from chronic fluid restriction may result in asystole …”

Section: Discussionmentioning

confidence: 99%

“…Certain medications such as calcium channel blockers, angiotensin-converting enzyme inhibitors, and antiepileptics depress the heart rate and may cause complications in patients with chronic kidney failure. [9][10][11][12][13] It is also an important point to consider that high plasma concentrations of these drugs are necessary in treating patients before performing emergent hemodialysis. The additive cardiac depressing effects of general anesthesia with these drugs as well as the hypovolemia resulting from chronic fluid restriction may result in asystole.…”

Section: Discussionmentioning

confidence: 99%

“…The additive cardiac depressing effects of general anesthesia with these drugs as well as the hypovolemia resulting from chronic fluid restriction may result in asystole. 13 Ketamine is a unique general anesthetic agent as it provides analgesia while maintaining cardiovascular stability, except for patients with severe ventricular dysfunction. However, many patients that receive ketamine require ventilator support.…”

Section: Discussionmentioning

confidence: 99%

“…Certain medications such as calcium channel blockers, angiotensin‐converting enzyme inhibitors, and anti‐epileptics depress the heart rate and may cause complications in patients with chronic kidney failure . It is also an important point to consider that high plasma concentrations of these drugs are necessary in treating patients before performing emergent hemodialysis.…”

Section: Discussionmentioning

confidence: 99%

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A minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus block

Çiftçi

Daşkaya

Yıldırım

et al. 2014

Hemodialysis International

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The superficial cervical plexus block (SCPB) is utilized in pediatric patients to perform certain surgical procedures, but there is no evidence supporting its use in hemodialysis catheter placement. We evaluated the analgesic effectiveness, intraoperative complications, and patient satisfaction associated with SCPB for pediatric patients in renal failure undergoing emergent dialysis catheterization. A total of 52 patients ranging from 1 to 17 years old that required emergent dialysis catheter placement and received SCPB were included in this study. During the catheterization, intraoperative pain scores, requirement for additional analgesia, catheterization access site, and intraoperative complications were recorded. The Children's Hospital of Eastern Ontario Pain Scale (mCHEOPS) was used to determine pain ratings during skin puncture with the needle, skin dilatation, and securing the catheter with stitches. The patients had an average age of 8.46 ± 5.3 years. The preferred catheterization entry site was through right internal jugular vein, which was achieved in 80.7% of patients. However, 19.3% of patients required access through the right subclavian vein. The average mCHEOPS score during skin puncture was 1.4 ± 0.5, and the mean mCHEOPS score was 2.3 ± 0.6 for skin dilatation. Finally, the average mCHEOPS score while securing the catheter with stitches was 1.3 ± 0.4. No patient required fentanyl for additional analgesia. No intraoperative complications occurred. The benefits gained from using SCPB performed by an experienced anesthesiologist for hemodialysis catheter placement include providing sufficient analgesia and optimal surgical conditions while avoiding the complications associated with general anesthesia for pediatric patients with renal failure.

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Transient cortical blindness as a complication of posterior spinal surgery in a pediatric patient

Nathan¹,

Jain²,

Lykissas³

et al. 2013

Journal of Pediatric Orthopaedics B

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Postoperative vision loss after spinal surgery is a well-known but devastating complication that may result from direct ocular ischemia, embolism to the central retinal artery, ischemic optic neuropathy, or occipital cortical ischemia. The occipital cortex is situated in the posterior border zone of the middle and posterior cerebral arteries and is susceptible to ischemic damage. Transient cortical blindness as a cause of postoperative vision loss has never been reported after spine surgery in a child. We report an 11-year-old female patient with muscular dystrophy who underwent posterior spinal fusion and instrumentation under hypotensive anesthesia for scoliosis who developed transient cortical blindness.

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Transient cortical blindness after resuscitation in a child having central venous catheterization under general anesthesia

Cited by 4 publications

References 27 publications

Cortical blindness after complicated general anesthesia in urological surgery

Cortical blindness after complicated general anesthesia in urological surgery

A minimally painful, comfortable, and safe technique for hemodialysis catheter placement in children: Superficial cervical plexus block

Transient cortical blindness as a complication of posterior spinal surgery in a pediatric patient

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