An evaluation of the administration of sub-Tenon local anaesthesia by a nurse practitioner
| Autor: | Heather Waterman, M. J. Lavin, S. Mayer, Christine Waterman, Anne Fiona Spencer |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Chemosis Eye Movements Eye disease medicine.medical_treatment Pain Anxiety Injections Cellular and Molecular Neuroscience Patient satisfaction Humans Medicine Nurse Practitioners Local anesthesia Anesthetics Local Aged Pain Measurement Aged 80 and over Phacoemulsification business.industry Middle Aged Cataract surgery medicine.disease eye diseases Sensory Systems Ophthalmology surgical procedures operative Patient Satisfaction Anesthesia Female sense organs medicine.symptom business Administration (government) Scientific Correspondence Anesthesia Local |
| Zdroj: | British Journal of Ophthalmology. 86:524-526 |
| ISSN: | 0007-1161 |
| DOI: | 10.1136/bjo.86.5.524 |
| Popis: | Aim: To evaluate the administration of sub-Tenon local anaesthesia (LA) by a nurse practitioner. Methods: 106 consecutive patients listed for cataract surgery were given sub-Tenon's anaesthesia by a nurse practitioner. The surgical procedure was performed within 15 minutes of the administration of the LA. Pain, state and adequacy of anaesthesia, appearance of the eye, and patient anxiety were measured. Patients' experiences of this new nursing role were gained through interview. Results: At the beginning of surgery, few patients showed eye movement in any of the four quadrants and the surgeons reported that akinesia was inadequate in only seven (7.1%) cases. Three patients (3.3%) gave a pain score of 3 out of 10 or above during surgery whereas the surgeons assessed the pain relief to be inadequate in eight (8.1%) cases. Five (5.3%) patients required a top up of anaesthesia and 51 (39.8%) patients developed conjunctival chemosis in two or more quadrants. Overall, patients' comments indicate that they were pleased with the new service. Conclusion: The results suggest that nurse practitioner delivered sub-Tenon LA is an effective and safe method of LA administration for cataract surgery. |
| Databáze: | OpenAIRE |
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