Life-threatening hypotension in the immediate postoperative period of cataract surgery under topical anesthesia: a report of two cases

Cataract surgery is one of the most frequent surgeries in the world. It is a very safe procedure mostly performed under topical anesthesia in outpatients centers. Due to the growing lack of anesthesiologists, cataract surgeries are more frequently performed without an anesthesiologist present in the...

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Bibliographic Details
Published in:BMC anesthesiology 2022-11, Vol.22 (1), p.345-345, Article 345
Main Authors: Fostier, Michele, Januleviciute, Gintare, Fauconnier, Fabrice, Collard, Edith, Dubois, Virginie
Format: Article
Language:English
Subjects:
Ambulatory surgery
Anaphylaxis
Anesthesia
Anesthesia care
Anesthesia, Local - methods
Anesthetics, Local
Antibiotics
Blindness
Blood pressure
Case Report
Cataract
Cataract Extraction - adverse effects
Cataract Extraction - methods
Cataract surgery
Cataracts
Cohort analysis
Complications and side effects
Eye surgery
Heart rate
Humans
Hypertension
Hypotension
Hypotension - etiology
Hypothyroidism
Intensive care
Medical personnel
Patients
Postoperative Period
Surgery
Surgical clinics
Systemic adverse events
Topical anesthesia
Ventilators
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Summary:Cataract surgery is one of the most frequent surgeries in the world. It is a very safe procedure mostly performed under topical anesthesia in outpatients centers. Due to the growing lack of anesthesiologists, cataract surgeries are more frequently performed without an anesthesiologist present in the operating room. Although extremely rare, life-threatening complications may occur. We report two cases of cataract surgery complicated by severe hypotension that required emergency resuscitation in the immediate postoperative period and hospitalization in intensive care unit. Anaphylactic shock was confirmed in the first case and suspected in the second. Even though cataract surgery is a very safe procedure, it is essential to ensure the presence of an anesthesiologist to manage potential, though extremely rare, life-threatening complications such as anaphylactic reactions.
ISSN:1471-2253
1471-2253
DOI:10.1186/s12871-022-01894-0