Update on Regional Anaesthesia in Intraocular Surgery

作者：Wenger S; Luyet C; Garweg J G^*

来源：Klinische Monatsblatter fur Augenheilkunde, 2015, 232(4): 367-371.

DOI：10.1055/s-0035-1545680

• retrobulbar anesthesia
• peribulbar anaesthesia
• safety
• fibrinolytic agents
• thrombocyte aggregation inhibitors
• nerve block methods

Background: Retrobulbar anaesthesia is a valuable alternative not only for polymorbid and haemodynamically compromised patients. Complications are rare but may be devastating.
Methods: Principally, any intraocular surgery can be made under local anaesthesia. There are only a few contraindications to regional anaesthesia such as denial against regional anaesthesia, allergy to local anaesthetics, local infection, severe orthopnea, insufficiently controlled psychiatric disorders or small children and non-cooperative patients.
Results: The success rate of retrobulbar anaesthesia in terms of control of intraoperative discomfort approaches 100% with an intraconal injection in 94% and a distribution of fluid into the intraconal space in 97%.
Conclusion: Based on the recent literature, the present review compares techniques, describes possible complications and in the absence of evidence-based studies provides suggestions for the handling of patients under thrombocyte aggregation inhibitor and vitamin K antagonist therapy and anticoagulation.

• 出版日期2015-4