[Continuous blood pressure monitoring in cataract operations under local anesthesia].
Clinical data of 69 patients due to undergo ECCE with PCIOL implantation were evaluated in a standardized fashion. The preliminary results show that the blood pressure measured preoperatively and intraoperatively necessitated antihypertensive therapy. The averaged systolic blood pressure in the ward was 147.2 +/- 20.4 mm Hg; before retrobulbar anesthesia 159.9 +/- 30.4 mm Hg; after retrobulbar anesthesia 172.6 +/- 24.2 mm Hg; and at the start of surgery 154.2 +/- 18.4 mm Hg. Maximum intraoperative blood pressure was 156.2 +/- 20.7 mm Hg; at the end of surgery it was 144.3 +/- 19.5 mm Hg. In 12 patients (17%), systolic blood pressure higher than 200 mm Hg was measured after retrobulbar anesthesia. Antihypertensive therapy (nifedipine, nitroglycerin) was initiated in 44 patients (64%). These data support the recommendation that blood pressure should be monitored continuously both before and during the operation in order to minimize the rate of surgical and general complications.
Michelson
G
G
Augenklinik mit Poliklinik der Universität Erlangen-Nürnberg.
Ruprecht
K W
KW
Lang
G K
GK
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D000959:Antihypertensive Agents / Q000627:therapeutic use*; D001794:Blood Pressure / Q000187:drug effects; D001795:Blood Pressure Determination / Q000295:instrumentation*; D002387:Cataract Extraction; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D007431:Intraoperative Complications / Q000188:drug therapy*; D007910:Lenses, Intraocular; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000295:instrumentation; D009543:Nifedipine / Q000627:therapeutic use; D005996:Nitroglycerin / Q000627:therapeutic use; D012307:Risk Factors; D012815:Signal Processing, Computer-Assisted
D000959:Antihypertensive Agents; D005996:Nitroglycerin; D009543:Nifedipine
Kontinuierliches Blutdruckmonitoring bei Katarakt-Operationen in Lokalanästhesie.