Commentary: Office-based vitrectomy using topical anesthesia in an Indian setting

Principles of office anesthesia: part II. Topical anesthesia.

The development of topical anesthetics has provided the family physician with multiple options in anesthetizing open and intact skin. The combination of tetracaine, adrenaline (epinephrine), and cocaine, better known as TAC, was the first topical agent available for analgesia of lacerations to the face and scalp. Cocaine has been replaced with lidocaine in a newer formulation called LET (lidoca...

27-Gauge Vitrectomy for Symptomatic Vitreous Floaters with Topical Anesthesia

PURPOSE Traditionally acceptable methods of anesthesia for vitrectomy surgery are quite varied. However, each of these methods has its own potential for complications that can range from minor to severe. The surgery procedure of vitrectomy for symptomatic vitreous floaters is much simpler, mainly reflecting in the nonuse of sclera indentation, photocoagulation, and the apparently short surgery ...

The difficult airway in office-based anesthesia.

The skills required to anticipate and manage a difficult airway are very important skills that the anesthesia provider must possess. However, it is axiomatic that the night before surgery, the patient was breathing room air unassisted by any devices. (Note that this discussion excludes the sleep apnea patient who requires a continuous positive airway pressure device.) It is therefore anesthesia...

Advances in office anesthesia.

BACKGROUND Recent developments in anesthesia applicable to family practice settings are reviewed. METHODS MEDLINE was searched using the key words "EMLA"; "iontophoresis"; "lidocaine," "tetracaine, adrenaline, cocaine"; and "lidocaine, epinephrine, tetracaine." RESULTS AND CONCLUSIONS Clinical experience has shown that there is a definite and evolving role for the newer methods of office an...

Microbiological Analysis of Office-based three-port Microincision Vitrectomy Surgery