[Evaluation of a simplified protocol of local regional anesthesia for the surgery of the posterior segment].
A consecutive series of 100 patients with retinal detachment underwent surgery with local regional anesthesia (sedation plus peribulbar anesthesia). All patients were informed about the anesthesia alternatives (general and local regional) and the differences were explained. Ninety-seven patients chose local regional anesthesia. The remaining 3 patients had major contraindications for general anesthesia. The mean surgery time was 1 hour 25 minutes. Regional anesthesia failed in one case, and general anesthesia was then employed. Local regional anesthesia requires close collaboration of surgeon, anesthesiologist and patient. The main advantages of this technique are: its simplicity, the absence of oculocardiac reflex, diminution of pain, and the possibility of placing the patient in the desired position very shortly after surgery. The limitations of local regional anesthesia are: procedures that take longer time, and lack of patient comfort.
Murat
J
J
Service d'Anesthésiologie, Hôtel-Dieu, Paris.
Chauvaud
D
D
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000765:Anesthesia, Conduction / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods*; D003452:Cryosurgery; D005069:Evaluation Studies as Topic; D006801:Humans; D007432:Intraoperative Period; D008875:Middle Aged; D012163:Retinal Detachment / Q000601:surgery*; D014821:Vitrectomy
Evaluation d'un protocole simplifié d'anesthésie loco-régionale pour la chirurgie du segment postérieur.