Document Detail

Use of topical anesthesia alone in cataract surgery.
MedLine Citation:
PMID:  8784636     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To evaluate pain and discomfort experienced by patients who have uncomplicated cataract extraction using topical anesthesia with no intravenous sedation. SETTING: Fichman Eye Center, Manchester, Connecticut. METHODS: Blood pressure, heart rate, and respiration were measured preoperatively, during cataract surgery, and postoperatively in 100 randomly selected patients. The average of these measurements (procedural vital) was compared with the blood pressure, heart rate, and respiration levels during surgery. RESULTS: On average, patients had a negligible increase in blood pressure (1%), a small decrease in heart rate (2%), and a slight decrease in respiration (1%). CONCLUSION: Because the vital signs were essentially unchanged during surgery, I believe patients were very comfortable despite having no intravenous sedation.
R A Fichman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cataract and refractive surgery     Volume:  22     ISSN:  0886-3350     ISO Abbreviation:  J Cataract Refract Surg     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-11-08     Completed Date:  1996-11-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8604171     Medline TA:  J Cataract Refract Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  612-4     Citation Subset:  IM    
Fichman Eye Center, Manchester, Connecticut 06040, USA.
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MeSH Terms
Administration, Topical
Aged, 80 and over
Anesthesia, Local / methods*
Anesthetics, Local / administration & dosage*
Blood Pressure / physiology
Cataract Extraction*
Heart Rate / physiology
Lenses, Intraocular
Middle Aged
Ophthalmic Solutions
Pain Measurement
Random Allocation
Respiration / physiology
Retrospective Studies
Tetracaine / administration & dosage*
Reg. No./Substance:
0/Anesthetics, Local; 0/Ophthalmic Solutions; 94-24-6/Tetracaine

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

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