title: Day case management in adjustable suture squint surgery.
abstract: Day case adjustable suture squint surgery is limited by patient cooperation in the early post-operative period. Nausea is common and may be exacerbated by adjustment. To facilitate early adjustment, in 37 consecutive patients anaesthesia was induced with propofol and the airway maintained with a laryngeal mask. Before and after adjustment patients recorded their level of nausea on a visual analogue scale (1 = no nausea, 10 = vomiting). The mean age of the group was 31.9 years with 20 men and 17 women. Adjustment was performed at a mean time of 4.9 hours after surgery. On the analogue scale of nausea the mean score was 1.54 pre-adjustment and 1.73 post-adjustment. Only 1 patient was given a post-operative anti-emetic. All patients were sufficiently alert to adjust without difficulty and were discharged the same day. The use of a laryngeal mask and induction of anaesthesia with propofol in adjustable suture squint surgery facilitates early adjustment and thus day case management.
authors.affiliation: Eye Hospital, Southampton, UK.
authors.forename: A J
authors.initials: AJ
authors.lastname: Luff
authors.forename: R J
authors.initials: RJ
authors.lastname: Morris
authors.forename: A C
authors.initials: AC
authors.lastname: Wainwright
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D002648:Child; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000139:chemically induced; D009801:Oculomotor Muscles / Q000601:surgery*; D011182:Postoperative Care; D015742:Propofol / Q000008:administration & dosage / Q000009:adverse effects; D011446:Prospective Studies; D013285:Strabismus / Q000601:surgery*; D013536:Suture Techniques
chemical_list: D015742:Propofol