Adult strabismus surgery under propofol sedation with local versus general anesthesia

Autor: Zane F. Pollard, Marc F. Greenberg
Rok vydání: 2003
Předmět:
Zdroj: Journal of American Association for Pediatric Ophthalmology and Strabismus. 7:116-120
ISSN: 1091-8531
DOI: 10.1016/s1091-8531(02)00014-9
Popis: Purpose To compare operating room and hospital discharge times between adult strabismus surgeries using intravenous propofol sedation with local anesthesia versus those using general anesthesia. Methods Thirty adult patients underwent uncomplicated strabismus procedures performed by one surgeon using propofol sedation and local subtenon's anesthesia. These were retrospectively matched with adult patients undergoing similar procedures by another surgeon using general inhalational anesthesia. Only one muscle had undergone previous surgery, and no adjustable sutures were used. Times from incision closure to leaving the operating room (Out OR time), and to hospital discharge (DC time) are compared. Results Propofol/local Out OR times ranged 2 to 8 minutes (mean, 4.8). General anesthesia Out OR times ranged from 3 to 28 minutes (mean, 8.8) (means differ at P P P P Conclusions Many adult strabismus surgeries may be performed more efficiently with intravenous propofol sedation and local subtenon's anesthesia than with general anesthesia. Times from the end of surgery to leaving both the OR and the hospital are decreased compared with those of general anesthesia. Extreme delays are rare with propofol/local, but they occurred with general anesthesia.
Databáze: OpenAIRE