Diagnosis and Medical Management of Recurrent and Chronic Sinusitis in Children

Siegel, Sheldon C.

doi:10.1007/978-1-4612-0225-7_8

Cited by 3 publications

(1 citation statement)

References 70 publications

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“…Oral decongestants are better suited for long‐term administration than nasal sympathomimetic (xylometazoline) drops, which cannot be used for more than 3–5 days because of the risk of tolerance, and rebound vasodilatation on drug withdrawal. Side effects such as hyperactivity and insomnia are more common with decongestants in the pediatric age group rather than hypertension and urinary retention seen more commonly in adults (11), therefore making it unlikely that their use could have contributed to the increase in IOP in our patient.…”

Section: Discussionmentioning

confidence: 89%

Atropine‐induced lens extrusion in an open eye surgery

Chhabra¹,

Mishra²,

Kumar³

et al. 2005

Pediatric Anesthesia

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A 2-month-old male baby undergoing penetrating keratoplasty (PKP) under general anesthesia developed bradycardia and a decrease in heart rate to 53 b x min(-1) when stay sutures were taken through the superior and inferior recti. A bolus of 0.1 mg intravenous atropine resulted in tachycardia of up to 180-220 b x min(-1), which persisted for 35 min. After corneal trephination was performed the eyeball seemed to pulsate with the heartbeat. Spontaneous extrusion of the lens and vitreous occurred, which necessitated a lensectomy and vitrectomy in addition to PKP. The role of atropine in corneal transplant surgery is discussed here.

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Section: Discussionmentioning

confidence: 89%