Chirurgia della cataratta: anestesia loco-regionale o assistenza anestesiologica monitorizzata?

Translated title of the contribution: Cataract surgery: regional anesthesia or monitored anesthesia care?

V. Moschini, D. Dabrowska, V. Iorno

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Retrospective study in patients undergoing cataract surgery by facoemulsification in order to evaluate the incidence of regional peribulbar anaesthesia compared with MAC (Monitored Anesthesia Care). METHODS: Between January 1999 and December 2000, 1902 patients were studied. Peribulbar anaesthesia was performed by using a double or single inferior-lateral injection with a mixture of Lidocaine 2% and Bupivacaine 0.5% or, as a single agent, of Ropivacaine 0.75%. Jaluronydase 10 UI/ml was added to either agents. RESULTS: Only in 8% of patients intravenous drugs were added during surgery to correct bradycardia in 3%, hypertension 3% and for sedation in 2%. CONCLUSIONS: Regional anesthesia represents the most suitable anesthesia technique in patients undergoing cataract surgery by facoemulsification. Only in 8% of patients MAC was suitable, due to excessive anxiety or cardiovascular imbalance. Compared to other anesthesia techniques, regional anaesthesia is significantly safer. The utility of preoperative tests in reducing the morbidity associated with surgery, is also discussed.

Translated title of the contributionCataract surgery: regional anesthesia or monitored anesthesia care?
Original languageItalian
Pages (from-to)785-789
Number of pages5
JournalMinerva Anestesiologica
Volume67
Issue number11
Publication statusPublished - Nov 2001

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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