The effectiveness of peri-operative cardiac monitoring and pulse oximetry.
Life-threatening systemic complications during ophthalmic surgery under local anaesthesia are rare. However, respiratory and cardiovascular complications can cause significant morbidity and mortality. In this study continuous peri-operative oxygen saturation and cardiac monitoring provided the surgeon with early warning of life-threatening complications, resulting in rapid intervention and full recovery of the patients. Pre-operative venous cannulation aided rapid treatment. Due to ease of handling and interpretation, the equipment can be used effectively for peri-operative monitoring without any specialist training. All patients should be carefully monitored during local anaesthesia with pulse oximetry and cardiac monitors.
Jayamanne
D G
DG
Department of Ophthalmology, Newcastle General Hospital, Newcastle upon Tyne, UK.
Gillie
R F
RF
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D005260:Female; D006321:Heart / Q000502:physiology; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods*; D013508:Ophthalmologic Surgical Procedures; D010092:Oximetry / Q000379:methods; D011446:Prospective Studies