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- W2011307537 abstract "The trend for local anaesthesia has grown stronger in the past decade, as ambulatory surgery becomes more widespread, and increasingly older, frailer patients are undergoing surgery. Present-day cataract surgery, using microsurgical suturing techniques, no longer requires prolonged bed-rest. Several factors are essential in successful local anaesthesia in cataract surgery: topical anaesthetic agents; lighter sedation adequate facial akinesia; safe and effective retrobulbar or peribulbar injection and digital pressure to decrease intraocular pressure. Complications of retrobulbar and peribulbar injection, although uncommon, can range from inconvenient retrobulbar haemorrhage to life-threatening respiratory or cardiovascular arrest. Successful high precision microsurgery requires absolute control with proper akinesia and anaesthesia of the eye. The anaesthetist is required to work as part of the team and it is essential that he appreciates the current surgical requirements. In the past decade there have been dramatic changes in ophthalmic surgery. One of the trends is the preference for local anaesthesia.’ More recently, ambulatory (also known as day or outpatient) surgery requires that general sedation should be kept light so that patient can return home the same day. Many ophthalmologists still need the skills of an anaesthetist during surgery so that they can devote their undivided attention to the operating procedure. Anaesthetists working with ophthalmic surgeons should therefore understand and keep abreast of these important developments." @default.
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- W2011307537 date "1991-04-01" @default.
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- W2011307537 title "Local anaesthesia in ophthalmology" @default.
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