RT Book, Section
A1 Ripart, Jacques
A1 Merhige, Kenneth
A1 Della Rocca, Robert
A2 Hadzic, Admir
SR Print(0)
ID 3500831
T1 Chapter 21. Local & Regional Anesthesia for Eye Surgery
T2 NYSORA Textbook of Regional Anesthesia and Acute Pain Management
YR 2007
FD 2007
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071449069
LK accessanesthesiology.mhmedical.com/content.aspx?aid=3500831
RD 2024/04/24
AB Ophthalmic  surgery  is  one  of  the  most  frequent  surgical  procedures  requiring  anesthesia  in  developed  countries.1  Perioperative  morbidity  and  mortality  rates  associated  with  eye  (eg,  cataract)  surgery  are  low.2,3  Nevertheless,  because  patients  with  cataracts  tend  to  be  older  and  to  have  serious  comorbidities,4–9  systematic  preoperative  evaluation  should  be  performed  to  consider  a  patient  eligible  for  surgery.9  Anesthetic  management  may  contribute  to  the  success  or  failure  of  ophthalmic  surgery.  A  closed-claims  analysis  by  Gild  and  coworkers10  found  that  30%  of  eye  injury  claims  associated  with  anesthesia  were  characterized  by  the  patient  moving  during  ophthalmic  surgery.  Clinical  strategies  to  ensure  patient  immobility  are  essential,  as  blindness  is  the  outcome  in  many  cases  of  eye  injury.  Most  problems  occurred  during  general  anesthesia.  Quicker  patient  rehabilitation  and  fewer  complications  are  the  main  reasons  why  many  ophthalmic  surgeons  are  choosing  local  (LA)  over  general  anesthesia.11–13