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Monitored anesthesia care for enucleations and eviscerations
John R Burroughs1, Charles N S Soparkar, James R Patrinely
1Department of Ophthalmology, 96 Medical Group Regional Hospital, Eglin AFB, Florida, USA.
Ophthalmology
|February 13, 2003
Summary
Monitored anesthesia care (MAC) is a safe and effective alternative to general anesthesia for ocular surgeries like enucleation and evisceration. This approach offers potential benefits for patients, especially those with high medical risks.
Area of Science:
- Ophthalmology
- Anesthesiology
- Surgical Techniques
Background:
- General anesthesia is traditionally used for ocular enucleation and evisceration.
- Patient selection and anesthetic management are critical for these procedures.
- Alternative anesthetic techniques may offer benefits for specific patient populations.
Purpose of the Study:
- To evaluate the technique and success of monitored anesthesia care (MAC) for ocular enucleation and evisceration.
- To compare MAC with general anesthesia for these specific surgical procedures.
- To identify potential advantages of MAC in ocular surgery.
Main Methods:
- Retrospective, noncomparative interventional case series.
- Review of surgical logs from two oculoplastic practices (1990-2001).
- Inclusion of 146 eviscerations and 12 enucleations performed under MAC.
Main Results:
- All 158 procedures (146 eviscerations, 12 enucleations) performed under MAC were successful.
- MAC demonstrated hemodynamic stability and complete intraoperative analgesia.
- No patient or family psychological distress was documented regarding the anesthesia method.
Conclusions:
- Monitored anesthesia care is a successful alternative to general anesthesia for ocular enucleation and evisceration.
- MAC offers potential advantages, particularly for patients with high medical risks for general anesthesia.
- This technique provides a viable option for oculoplastic procedures, enhancing patient safety and comfort.