The oculocardiac reflex (OCR), also known as the Aschner reflex or trigeminovagal reflex, was first described in 1908 as a heart rate reduction from direct pressure placed on the eyeball or periorbital structures. Currently, this reflex is defined by a heart rate decrease greater than 20% following globe pressure or extraocular muscle traction. The OCR most commonly results in sinus bradycardia, though associations with reduced arterial pressure, arrhythmia, asystole, and even cardiac arrest have been reported. Ophthalmologic procedures, specifically strabismus surgery, consistently trigger the OCR. However, facial trauma, regional anesthetic nerve blocks, and mechanical stimulation may also activate this reflex.This activity for healthcare professionals is designed to enhance learners’ proficiency in recognizing the OCR and managing its potential complications. Learners gain a deeper insight into the reflex’s relevant anatomy, mechanisms, symptomatology, and appropriate interventions. Participants become prepared to collaborate within an interprofessional team caring for patients at risk of developing the OCR during surgery.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/26127
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABTS - 1.0 Point; Credit Type(s): Accredited CME (ABTS)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABTS - 1.0 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: All Practice Areas (e.g. ethics), Ambulatory/Outpatient, Critical Care, General Operative Anesthesia, General Surgery, Pediatric Anesthesia, Regional Anesthesia/Acute Pain