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Technique of ocular regional anesthesia
1Department of Anesthesia, Gimbel Eye Centre, Calgary, Alberta, Canada.
Summary
Retrobulbar injection is recommended for day care ophthalmic surgery anesthesia. This technique uses 2% lidocaine with hyaluronidase and adrenaline, along with fine, sharp needles for optimal patient management.
Area of Science:
- Ophthalmology
- Anesthesiology
Background:
- Regional anesthesia is frequently employed for outpatient ophthalmic procedures.
- Retrobulbar injection offers a viable anesthetic option for these surgeries.
Purpose of the Study:
- To detail patient management and anesthetic techniques for retrobulbar block in ophthalmic surgery.
- To recommend specific anesthetic agents and equipment for this procedure.
Main Methods:
- Retrobulbar injection administered by an anesthesiologist.
- Use of 2% lidocaine with hyaluronidase and adrenaline.
- Employing fine, sharp-pointed needles for injection.
Main Results:
- The described anesthetic technique is suitable for day care ophthalmic surgery.
- Specific anesthetic composition and needle type are highlighted for efficacy.
Conclusions:
- Retrobulbar anesthesia using the specified technique is a recommended approach for day care ophthalmic surgery.
- Optimal anesthetic management involves careful patient handling and precise technique.