Anes management: penetrating eye injury

Considerations include:

• Prevent elevated IOP (normal 10-22mmHg) and extrusion of ocular contents
• Avoid retro bulbar block can cause extrusion
• Avoid coughing/ premature DL
• Sux can increase IOP slightly
• Avoid N₂O
• Decreases IOP: Volatile anes, barbiturates, lidocaine, narcotics, Nondepolarizing NMB
• If full stomach: RSI with rocuronium