Abstract
There is substantial national and international variation in the conduct of anesthesia for ophthalmic surgical procedures. Ophthalmic regional anesthetic techniques include traditional needle-based blocks, such as intraconal or extraconal injections; sub-Tenon's blocks which can be accomplished with needles, but are more commonly performed with blunt cannulae; and topical anesthesia. Needle-based techniques are generally safe although rare, serious sight-and life-threatening complications may occur. In recent years, a renewed interest in sub-Tenon's and topical anesthesia has emerged. Currently there is no absolutely safe ophthalmic regional block. It is essential that those who are involved in the care of ophthalmic patients have a thorough knowledge of the approaches employed and their associated risks and benefits. This review article outlines the relevant anatomy, commonly used techniques and their safe performance.
| Original language | English |
|---|---|
| Pages (from-to) | 23-33 |
| Number of pages | 11 |
| Journal | Minerva Anestesiologica |
| Volume | 74 |
| Issue number | 1-2 |
| State | Published - Jan 1 2008 |
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Keywords
- Anesthesia
- Eye
- Nerve block
- Ophthalmology
- Orbit
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Ophthalmic regional anesthesia techniques. / Gayer, Steven; Kumar, Chandra M.
In: Minerva Anestesiologica, Vol. 74, No. 1-2, 01.01.2008, p. 23-33.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ophthalmic regional anesthesia techniques
AU - Gayer, Steven
AU - Kumar, Chandra M.
PY - 2008/1/1
Y1 - 2008/1/1
N2 - There is substantial national and international variation in the conduct of anesthesia for ophthalmic surgical procedures. Ophthalmic regional anesthetic techniques include traditional needle-based blocks, such as intraconal or extraconal injections; sub-Tenon's blocks which can be accomplished with needles, but are more commonly performed with blunt cannulae; and topical anesthesia. Needle-based techniques are generally safe although rare, serious sight-and life-threatening complications may occur. In recent years, a renewed interest in sub-Tenon's and topical anesthesia has emerged. Currently there is no absolutely safe ophthalmic regional block. It is essential that those who are involved in the care of ophthalmic patients have a thorough knowledge of the approaches employed and their associated risks and benefits. This review article outlines the relevant anatomy, commonly used techniques and their safe performance.
AB - There is substantial national and international variation in the conduct of anesthesia for ophthalmic surgical procedures. Ophthalmic regional anesthetic techniques include traditional needle-based blocks, such as intraconal or extraconal injections; sub-Tenon's blocks which can be accomplished with needles, but are more commonly performed with blunt cannulae; and topical anesthesia. Needle-based techniques are generally safe although rare, serious sight-and life-threatening complications may occur. In recent years, a renewed interest in sub-Tenon's and topical anesthesia has emerged. Currently there is no absolutely safe ophthalmic regional block. It is essential that those who are involved in the care of ophthalmic patients have a thorough knowledge of the approaches employed and their associated risks and benefits. This review article outlines the relevant anatomy, commonly used techniques and their safe performance.
KW - Anesthesia
KW - Eye
KW - Nerve block
KW - Ophthalmology
KW - Orbit
UR - http://www.scopus.com/inward/record.url?scp=40549109311&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=40549109311&partnerID=8YFLogxK
M3 - Article
C2 - 17380099
AN - SCOPUS:40549109311
VL - 74
SP - 23
EP - 33
JO - Minerva Anestesiologica
JF - Minerva Anestesiologica
SN - 0375-9393
IS - 1-2
ER -