UK survey of attitudes to local anaesthesia for vitreoretinal surgery
| Autor: | C R Canning, C Wainwright, R Newsom, A J Luff |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
medicine.medical_specialty Attitude of Health Personnel medicine.medical_treatment Eye disease Vitrectomy Surveys and Questionnaires Humans Medicine Local anesthesia General anaesthesia Macular hole Chi-Square Distribution Rehabilitation business.industry Vitreoretinopathy Proliferative Retinal detachment Vitreoretinal surgery Middle Aged medicine.disease Surgery Ophthalmology Patient Satisfaction Anesthesia business Anesthesia Local |
| Zdroj: | Eye. 15:708-711 |
| ISSN: | 1476-5454 0950-222X |
| DOI: | 10.1038/eye.2001.234 |
| Popis: | Background The use of local anaesthesia (LA) for vitreoretinal (VR) surgery is growing although surgeons in the UK traditionally use general anaesthesia. Purpose To assess the use and attitudes towards local anaesthesia for VR surgery among the members of the British and Eire Association of Vitreo-retinal Surgeons (BEAVRS). Methods A questionnaire was sent to members of BEAVRS. Use of LA was assessed for the following procedures: macular hole; diabetic vitrectomy; vitrectomy; cryopexy and gas; buckling and re-buckling procedures. Attitudes of surgeons generally using LA for primary retinal detachment surgery (< 50% of cases) were compared with those generally using general anaesthesia (GA) (< 50% of cases). Results 33.6% of surgeons preferred LA for macular hole; 26.2% for diabetic vitrectomy; 23.3% for vitrectomy, cryopexy and gas; 21.4% for buckling procedures; and 9.35% for re-buckling procedures. When surgeons routinely using LA were compared with those regularly using GA they considered LA less stressful for patients and surgeon, patients tolerant to longer operations, and buckling or redo surgery no more difficult under LA. However, both groups considered surgery on young patients and teaching relatively more difficult under LA. Conclusion The use of LA may convey benefits for VR surgery and faster rehabilitation for patients. However, we identified wide variations in the use of and attitudes to LA for VR surgery in British surgeons. |
| Databáze: | OpenAIRE |
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