Document Detail


Ophthalmic regional anaesthesia.
MedLine Citation:
PMID:  18784491     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To outline recent developments emphasizing the current literature on ophthalmic regional anaesthesia including modern sharp needle and blunt cannula sub-Tenon's blocks. RECENT FINDINGS: Local anaesthesia is commonly used for ophthalmic surgery but the techniques and choice vary. Akinetic ophthalmic regional blocks such as intraconal and extraconal blocks with needles are generally safe, but although rare, serious sight and life-threatening complications continue to occur. Newer akinetic sub-Tenon's block with a blunt cannula has emerged as a safer alternative to needle blocks, but although unusual, both sight and life-threatening complications have been reported. SUMMARY: At present, there is no absolutely safe ophthalmic regional block. It is imperative therefore to have a basic knowledge of anatomy and technique which reduce complications.
Authors:
Chandra Kumar; Timothy Dowd
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in anaesthesiology     Volume:  21     ISSN:  1473-6500     ISO Abbreviation:  Curr Opin Anaesthesiol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-11     Completed Date:  2009-01-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8813436     Medline TA:  Curr Opin Anaesthesiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  632-7     Citation Subset:  IM    
Affiliation:
The James Cook University Hospital, Middlesbrough, UK. Chandra.kumar@stees.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Anxiety / prevention & control*
Conscious Sedation / methods
Humans
Nerve Block / adverse effects,  classification,  methods*
Ophthalmologic Surgical Procedures*
Preoperative Care
Safety

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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