Expanding role of local anaesthesia in vitreoretinal surgery
Autor: | M T J Costen, C R Canning, A C Wainwright, R S B Newsom, A J Luff |
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Rok vydání: | 2004 |
Předmět: |
Adult
Bradycardia Chemosis medicine.medical_specialty Adolescent Sedation medicine.medical_treatment Perforation (oil well) Conscious Sedation Pain Vitrectomy Anesthesia General Drug Administration Schedule Retina Humans Medicine General anaesthesia Prospective Studies Anesthetics Local Child Prospective cohort study Aged Pain Measurement Aged 80 and over Pain Postoperative business.industry Incidence (epidemiology) Age Factors Professional Practice Middle Aged Surgery Scleral Buckling Ophthalmology England Anesthesia medicine.symptom business Anesthesia Local |
Zdroj: | Eye. 19:755-761 |
ISSN: | 1476-5454 0950-222X |
DOI: | 10.1038/sj.eye.6701640 |
Popis: | Local anaesthesia (LA) is increasingly common in vitreoretinal surgery. However, younger patients often have such surgery under general anaesthesia (GA). We reanalysed the anaesthetic practice for vitreoretinal surgery in our unit over a 19-month period. A total of 1003 patients undergoing vitreoretinal surgery between August 2000 and February 2002 were studied. Type of surgery, patient pain score to anaesthesia and surgery, need for sedation and incidence of complications related to the local anaesthetic were recorded. Comparisons were made between this case series and previous data from our unit. In total, 920/1003 (91.7%) patients had LA. Total operations comprised 418 vitrectomies, 518 retinopexies with or without vitrectomy and 67 buckling procedures. More patients under the age of 35 years had LA than previously (60.2 vs35.7%, P |
Databáze: | OpenAIRE |
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