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DR. NAFIZ MAHMOOD
Resident , NIO&H
Treat la as ga
Treat la as ga
Treat la as ga
OCULAR
PROBLEM
Treat la as ga
After careful examination
Treat la as ga
Treat la as ga
Treat la as ga
Treat la as ga
Treat la as ga
On the day of surgery
Treat la as ga
Treat la as ga
STO
P
TAKE
DETOUR
COMPLICATIONS
• Light headedness
• Numbness or tingling of circumoral area
• Anxious
• Drowsy
• Tinnitus
• Convulsion
• Coma & apnoea
• Cardiovascular collapse due to myocardial
depression & vasodilatation
HYPOXAEMIA APNOEA
Retrobulbar haemorrhage
Globe penetration
Nerve injury
or
Brain stem anaesthesia
LCN
SCN
CG
TGG
VN
afferent
efferent
CARDIAC ARREST
RESPIRATORY
ARREST
Treat la as ga
Treat la as ga
Treat la as ga
Treat la as ga
Treat la as ga
Treat la as ga
Don’t take L/A lightly
Every patient with L/A should be cannulated
Proper investigations must be done
Be cautious about accidental intravascular injection
Aspiration test are vital
Proper monitoring facilities should be prepared
G/A facilities with O2 must be available
General condition must be checked
Treat la as ga
Treat la as ga
THANK YOU
SPECIAL THANKS
Dr. Rubina Yasmin
Associate Professor
Faculty of Anaesthesiology
NIOH,Dhaka, Bangladesh
Dr. Kanijun Nahar Quadir
Assistant Professor
Faculty of Anaesthesiology
NIOH,Dhaka, Bangladesh

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Treat la as ga