title: [Combination of local anesthesia and intubation anesthesia in ophthalmic surgery - a gentle anesthetic technic for high risk patients].
abstract: Local analgesia has its definite place in ophthalmic surgery, but is restricted to short-term procedures. Major surgery involving longer periods of manipulation, especially of the retina and vitreous body, usually require general anaesthesia. These patients, predominantly elderly and of reduced general health, are at risk especially during the postoperative period. Regaining consciousness and protective reflexes quickly is essential in this group. To reduce the dosage of potent general anaesthetics in a pilot study a special risk group received a combination of retrobulbar local analgesia and light general anaesthesia. It was found that with optimal local blockade of pain conduction, general anaesthetics could be reduced as compared to a control group receiving general anaesthesia alone. The special advantage of this combined anaesthetic technique became evident during the postoperative period, since foreshortened recovery of consciousness, complete orientation as to time and space allowed referral to the ward at an early date. Particularly advantageous in these patients at risk was the prolongation of analgesia in the operated eye well into the postoperative period.
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000770:Anesthesia, Endotracheal; D000772:Anesthesia, Local; D005128:Eye Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012163:Retinal Detachment / Q000601:surgery*; D012306:Risk; D014822:Vitreous Body / Q000601:surgery
vernacular_title: Kombination von Lokalanästhesie und Intubationsnarkose in der Ophthalmochirurgie - Ein schonendes Narkoseverfahren bei Risikopatienten.