RT Book, Section
A1 Keen, Brendan
A1 Sherman, Marian
A2 Freeman, Brian S.
A2 Berger, Jeffrey S.
SR Print(0)
ID 1135743540
T1 Anesthesia for Ophthalmologic Surgery
T2 Anesthesiology Core Review: Part Two Advanced Exam
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9781259641770
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135743540
RD 2024/09/17
AB Ophthalmic  surgery  presents  unique  challenges  to  the  anesthesia  provider.  Though  these  surgeries  are  commonly  performed  as  ambulatory  procedures,  many  of  the  patients  who  present  for  such  surgery  represent  the  extremes  of  age.  Elderly  patients,  in  particular,  may  present  with  multiple  comorbidities.  Ophthalmic  surgery  can  induce  the  oculocardiac  reflex  which  is  discussed  below.  Ocular  dynamics  may  be  altered  by  anesthetic  agents  and  maneuvers.  Further,  attention  must  be  paid  to  the  systemic  effects  associated  with  topical  eye  medications  used  to  dilate  the  operative  eye  prior  to  surgery.  Anesthetic  technique  varies  from  straight  local,  to  minimum  alveolar  concentration  (MAC)  with  local,  to  MAC  with  regional  block,  to  general  anesthesia.