Local anaesthesia for 1221 vitreoretinal procedures

BACKGROUND Vitreoretinal (VR) surgery has been increasingly performed under local anaesthesia (LA) in this unit. The results of an audit monitoring this change are presented. METHODS Data were collected on 1497 patients including type, volume, and position of the anaesthetic block, type of surgery,...

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Bibliographic Details
Published in:British journal of ophthalmology 2001-02, Vol.85 (2), p.225-227
Main Authors: Newsom, R S B, Wainwright, A C, Canning, C R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Aged
Anesthesia
Anesthesia, General - statistics & numerical data
Anesthesia, Local - methods
Anesthesia, Local - statistics & numerical data
Biological and medical sciences
Cardiac arrhythmia
Child
Confidence intervals
Conscious Sedation - statistics & numerical data
England
Humans
Intraoperative Complications
local anaesthesia
Medical Audit
Medical sciences
Middle Aged
Pain
Pain - etiology
Patient satisfaction
peroperative pain
Prospective Studies
Retina - surgery
Scientific Correspondence
Scleral Buckling
sedation
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Vitrectomy
vitreoretinal surgery
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Summary:BACKGROUND Vitreoretinal (VR) surgery has been increasingly performed under local anaesthesia (LA) in this unit. The results of an audit monitoring this change are presented. METHODS Data were collected on 1497 patients including type, volume, and position of the anaesthetic block, type of surgery, complications, and patient reactions. RESULTS 1221/1479 (82%) patients had LA. They were older than those having general anaesthesia (GA) 63.5 years v 45.9 years; 146 (10.6%) blocks were intracone, 130 (10.6%) peribulbar, and 927 (75.9%) combined. Operations included 436 vitrectomies, 545 retinopexy with or without vitrectomy, and 238 buckling procedures. Some pain was felt by 9.4%, 8.8%, and 19.7% of patients during vitrectomy, retinopexy with or without vitrectomy, and buckling surgery respectively. CONCLUSION Local anaesthesia for VR surgery is well tolerated by patients, being effective throughout longer and more stimulating ocular surgery.
ISSN:0007-1161
1468-2079
DOI:10.1136/bjo.85.2.225