Four-quadrant local anaesthesia technique for vitreoretinal surgery

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Local anaesthesia for 1221 vitreoretinal procedures.

BACKGROUND Vitreoretinal (VR) surgery has been increasingly performed under local anaesthesia (LA) in this unit. The results of an audit monitoring this change are presented. METHODS Data were collected on 1497 patients including type, volume, and position of the anaesthetic block, type of surgery, complications, and patient reactions. RESULTS 1221/1479 (82%) patients had LA. They were olde...

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Local anaesthesia for vitreoretinal surgery: an audit of patient and surgical experience.

PURPOSE Local anaesthesia for vitreoretinal surgery is little used as these procedures are deemed to be too long and uncomfortable for patients to tolerate. In this unit anterior intraconal local anaesthesia is used for most routine surgery. We undertook an audit to ensure that surgical standards and patient acceptability were not compromised. METHODS A prospective observational audit was per...

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local anesthesia in vitreoretinal surgery

purpose: to compare general anesthesia (ga) with local anesthesia (la) in terms of safety and patient satisfaction. methods: in this interventional case series, 928 consecutive patients who underwent vitreoretinal surgery were included. data for analysis were type of anesthesia and operation, patient compliance, operating conditions and pain scores. general anesthesia was provided with a standa...

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[Anesthesia for vitreoretinal surgery using a retrobulbar catheter technique].

OBJECTIVE To evaluate peroperative pain management using a flexible spinal anesthesia catheter introduced into the retrobulbar space which allows injections of local anesthetics for vitreoretinal surgery. METHODS Twenty-five patients who underwent vitreoretinal surgery receiving retrobulbar anesthesia with 3.5 ml ropivacaine 0.75%. After injection, a catheter with spinal needle 22G x 1 1/2 (4...

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Stapes surgery under local anaesthesia

In the UK, stapes surgery is performed almost universally under general anaesthesia. In 1984 there was consensus that local anaesthesia should be the technique of choice in stapes surgery. Despite reports of successful use of local anaesthesia for middle ear surgery, this is still not widely accepted practice in the UK. We describe the senior author's technique for local anaesthetic stapes sur...

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ژورنال

عنوان ژورنال: Eye

سال: 1992

ISSN: 0950-222X,1476-5454

DOI: 10.1038/eye.1992.126