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August 1986

Respiratory Obstruction Following the Nadbath Facial Nerve Block

Arch Ophthalmol. 1986;104(8):1115. doi:10.1001/archopht.1986.01050200021012

To the Editor.  —We would like to report our experience with two cases similar to the one described by Wilson and Ruiz1 in the October 1985 issue of the Archives—respiratory obstruction following a Nadbath2 block of the facial nerve.Our two cases were both planned extracapsular cataract extractions with intraocular lens implants performed with the patients under fractional sedation with retrobulbar and facial nerve blocks. The anesthetic technique at the Central New York Eye Center, Poughkeepsie, utilizes 5 mg of oral diazepam (Valium) 20 minutes before a Nadbath block with 5 mL and a retrobulbar block with 4 mL. Both use 2% lidocaine with epinephrine (1:200 000). A Super Pinky is then applied to the globe for 30 minutes before surgery.In our first case, the patient was given a right-sided block and had a previous left-sided facial weakness from a stroke. Our second patient was a

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