• A&A practice · Apr 2022

    Local Infiltration Anesthesia for Orbital Exenteration in Patients With Rhino-Orbital Cerebral Mucormycosis: A Case Series.

    • Prardhana Veerabathula, Swati Singh, Puduchira George Koshy, Tarjani Vivek Dave, Raja Narsing Rao, and Milind N Naik.
    • From the Ophthalmic Anesthesia Service.
    • A A Pract. 2022 Apr 12; 16 (4): e01581e01581.

    AbstractOrbital exenteration is occasionally required for rhino-orbital cerebral mucormycosis. Multiple associated comorbidities can pose a risk for general anesthesia. There is only 1 report of exenteration being performed under trigeminal nerve block. We describe 5 patients who underwent orbital exenteration under local infiltration anesthesia with sedation. Patients and surgeons reported satisfactory conditions, with stable hemodynamics and successful day care management. Orbital exenteration under local infiltration anesthesia can be a safe and effective alternative for patients with rhino-orbital mucormycosis who are at risk with use of general anesthesia.Copyright © 2022 International Anesthesia Research Society.

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