[Assessment of anesthesia methods in ophthalmologic surgery by patients, surgeons, and anesthesiologists].
BACKGROUND
The purpose of this study was to evaluate anesthesia methods in ophthalmic surgery in elderly people assessed by patients, surgeon, and anesthesiologist using subjective rating scales.


METHODS
In a prospective, randomized study we compared in 52 (26 vs 26) elderly patients (ASA II and III, mean age 78.7+/-8.6 years) undergoing a cataract operation the satisfaction perceived by patients, surgeons, and anesthesiologists in relation to anesthesia methods [intravenous anesthesia (TIVA) vs balanced anesthesia (BA)] based on a score from 1=best to 6=worse.


RESULTS
Patient satisfaction was better in the TIVA group (1.65) than in the patients treated with BA (2.57), p<0.001. Surgeons perceived no difference (BA 1.15/TIVA 1.07). Anesthesiologists preferred TIVA (TIVA 1.5/BA 3.23), p<0.001.


CONCLUSIONS
In this study patients and anesthesiologists preferred TIVA. There was no difference between TIVA and BA as seen by the surgeon.
Weilbach
C
C
Anästhesieabteilung, St. Josefs-Hospital, Cloppenburg. c.weilbach@kh-clp.de
Scheinichen
D
D
Raymondos
K
K
Jüttner
B
B
Schlosshardt
S
S
Piepenbrock
S
S
D000368:Aged; D000758:Anesthesia / Q000379:methods* / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D002387:Cataract Extraction / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*