About this trial
Observation study monitoring vital signs and anesthetic variables particularly heart rate during prospective, ocular manipulation and specifically uniform tension on extra ocular muscles during strabismus surgery.
\*IRB approval from 1992 covered in letter from then IRB chair Dr. Judith Whitcomb, Anchorage, Alaska (letter 10/2020).\*
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Patient scheduled for ocular manipulation and tension on extra ocular muscles and strabismus surgery
Disqualifiers
anophthalmia
Trial population
Adults and children undergoing ocular manipulation and tension on extra ocular muscles and strabismus surgery
Trial design
Cohort
Prospective
Treatments tested in this trial
electrocardiograph
Diagnostic testelectrocardiograph monitor during strabismus surgery
Treatment groups
Trial outcomes
Primary outcomes
Percent heart rate resulting from oculocardiac reflex
Continuous variable of percent change in heart rate from stable pre-heart rate to greatest change heart rate during strabismus surgery
Secondary outcomes
Anesthetic interventions
Impact of existing and emerging anesthetics on oculocardiac reflex. This shall include various existing and emerging medications and inhalation agents, dosage, routes, airway types, general anesthesia and awake, and monitor methods.
Patient Characteristics
The impact of various patient characteristics on oculocardiac reflex including patient age, weight, gender and race, the presence of neuro-developmental condition.
Surgeon Interventions
The impact of various aspects/phases of ocular manipulation and/or surgical technique. This includes monitored electrocardiograph during insertion of lid speculum, pressure on the globe, grasping of conjunctiva, incision of conjunctiva, dissection of Tenon's capsule, traction on extra ocular muscle, suturing extra ocular muscle, disinsertion of extra ocular muscle, re-suturing of extra ocular muscle and closure of conjunctiva.
Sponsors and contacts
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