بررسی مقایسه ای فراوانی نسبی تهوع و استفراغ، رضایت مندی بیمار و جراح طی روش های گوناگون بیهوشی در بیماران عمل جراحی کاتاراکت

Background and purpose: Cataract surgery is the most frequent surgery in old patients. Forty six percent of people older than 75 years of age have cataract. These elderly patients frequently have associated diseases. It is important to select the best anesthetic method with least complications. This study compared 3 anesthetic methods. Regarding to patients, and surgens, comfort, frequency of nausea and vomiting in the patients undergoing cataract surgery. Materials and Methods: This cross sectional observational study with simple sample recruitment was performed on 120 patients divided in three groups of 40 cases, with general anesthesia, topical anesthesia +light IV sedation and local anesthesia + light IV sedation in summer 2004 in Feiz Medical Center. Data collected using check list. One way Anova and Chi-square tests were used to compare mean qualitative and frequency of qualitative variables. The level of statistical significance was set at P< 0.05. Results: There were significant differences in mean score of surgeons, and patients, comfort, mean severity of nausea after surgery and mean score of pain between 3 groups (P<0.001). There was no significance difference in frequency of vomiting after surgery between 3 groups (P=0.33) Conclusion: It has been suggested that topical anesthesia +light IV sedation is a safe and effective method for cataract surgery.