we should put every patient a cannula for quick managing of any complications in pre, per, post operative cases

1. DR. NAFIZ MAHMOOD
Resident , NIO&H

5. OCULAR
PROBLEM

7. After careful examination

13. On the day of surgery

16. STO
P
TAKE
DETOUR

17. COMPLICATIONS

18. • Light headedness
• Numbness or tingling of circumoral area
• Anxious
• Drowsy
• Tinnitus
• Convulsion
• Coma & apnoea
• Cardiovascular collapse due to myocardial
depression & vasodilatation
HYPOXAEMIA APNOEA

19. Retrobulbar haemorrhage
Globe penetration

20. Nerve injury
or
Brain stem anaesthesia

21. LCN
SCN
CG
TGG
VN
afferent
efferent

22. CARDIAC ARREST
RESPIRATORY
ARREST

29. 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

32. THANK YOU

33. 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