Local anaesthesia for 1221 vitreoretinal procedures

R. S. B. Newsom; A. C. Wainwright; C. R. Canning

doi:10.1136/bjo.85.2.225

Local anaesthesia for 1221 vitreoretinal procedures

R. S. B. Newsom^*, A. C. Wainwright, C. R. Canning

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

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 older than those having general anaesthesia (GA) 63.5 years v 45.9 years; 146 (10.6%) blocks were intracone, 130 (10.6%) peribulbar, and 927 (75.9%) combined. Operations included 436 vitrectomies, 545 retinopexy with or without vitrectomy, and 238 buckling procedures. Some pain was felt by 9.4%, 8.8%, and 19.7% of patients during vitrectomy, retinopexy with or without vitrectomy, and buckling surgery respectively.

Conclusion: Local anaesthesia for VR surgery is well tolerated by patients, being effective throughout longer and more stimulating ocular surgery.

Original language	English
Pages (from-to)	225-227
Number of pages	3
Journal	British Journal of Ophthalmology
Volume	85
Issue number	2
DOIs	https://doi.org/10.1136/bjo.85.2.225
Publication status	Published - 1 Feb 2001

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abstract = "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 older than those having general anaesthesia (GA) 63.5 years v 45.9 years; 146 (10.6%) blocks were intracone, 130 (10.6%) peribulbar, and 927 (75.9%) combined. Operations included 436 vitrectomies, 545 retinopexy with or without vitrectomy, and 238 buckling procedures. Some pain was felt by 9.4%, 8.8%, and 19.7% of patients during vitrectomy, retinopexy with or without vitrectomy, and buckling surgery respectively. Conclusion: Local anaesthesia for VR surgery is well tolerated by patients, being effective throughout longer and more stimulating ocular surgery.",

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Local anaesthesia for 1221 vitreoretinal procedures

Abstract

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