Pediatric anesthesia & critical care

Effect of Ice Slush on Reducing the Oculocardiac Reflex During Strabismus Surgery

Anesth AnalgPublished Randomised controlled trial

Primary result · Newcombe methodResult — go to the resultAbsolute risk difference −31.0% 95% CI −49.4 to −11.0

Authors' conclusion

IS on the ocular surface causing local hypothermia is a promising and easily accessible method to reduce the overall OCR, which can improve the safety of strabismus surgery.

Study context

Population
Patients with concomitant strabismus scheduled for lateral rectus recession under GA
Participants
58 patients
Comparison
Ice slush vs room-temperature sterile saline before surgery
  • Ice slush (IS)n = 29
  • Controln = 29reference
Primary endpoint
Incidence of overall oculocardiac reflex (OCR) (HR decrease >15% from baseline in any stage) during all stages of surgery
Methodological detailsprospective, double-blind
  • Prospective
  • Double-blind

Primary result

Newcombe method

Absolute risk difference

−31.0%

95% CI −49.4 to −11.0

P < 0.001

Events by treatment group

IS vs Control
absolute risk difference −31.0% (95% CI −49.4 to −11.0); P < 0.001

As reported in the abstract

Original publication

Effect of Ice Slush on Reducing the Oculocardiac Reflex During Strabismus Surgery. Anesth Analg. Published 2 November 2022. doi:10.1213/ane.0000000000006239

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