TY - CHAP M1 - Book, Section TI - Anesthesia for Ophthalmic Procedures A1 - Labovsky, Kristen A2 - Ellinas, Herodotos A2 - Matthes, Kai A2 - Alrayashi, Walid A2 - Bilge, Aykut PY - 2021 T2 - Clinical Pediatric Anesthesiology AB - FOCUS POINTSOphthalmic procedures in children are mostly accomplished under general anesthesia with potent volatile anesthetics.The airway is managed with a supraglottic device or endotracheal intubation with or without muscle relaxation dependent on duration and extent of the procedure.Succinylcholine and post-administration fasciculations should be used with caution in these procedures; precurarization with a nondepolarizing muscle relaxant should be considered.Releasing muscle tension and avoiding eye pressure can abolish the oculocardiac reflex (OCR) but anticholinergic medication administration may be required.Serotonin 5-HT3 receptor antagonists (antagonists) and dexamethasone are effective in preventing postoperative nausea and vomiting (PONV).Intravenous lidocaine and deep extubation are two useful modalities to avoid coughing during extubation in these procedures.Retinopathy of prematurity is common in premature infants and treatment needs to be performed within 72 hours. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/20 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1176457731 ER -