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Pediatric ophthalmology and anesthesia pearls in the operating room
1Riley Hospital for Children, 702 Barnhill Drive, Indianapolis, IN 46202, USA.
Insights
Pediatric ophthalmic nurses require vigilance for subtle physiologic changes during general anesthesia. This paper reviews distraction techniques and nursing care for children undergoing eye surgery.
Area of Science:
- Ophthalmology Nursing
- Pediatric Anesthesia
- Surgical Care
Background:
- Pediatric ophthalmic care presents unique challenges due to subtle physiologic changes in children.
- Ophthalmic nurses must be vigilant during general anesthesia, as complications can arise rapidly.
Purpose of the Study:
- To discuss distraction techniques for pediatric ophthalmic patients.
- To provide an overview of nursing care for children under general anesthesia in a pediatric specialty hospital.
Main Methods:
- Review of nursing experiences in a hospital-based outpatient surgery center.
- Observation of care provided by pediatric anesthesiologists and residents.
- Analysis of procedures performed in outpatient and inpatient surgical areas.
Main Results:
- The center performs nearly 800 pediatric ophthalmology procedures annually in the outpatient setting.
- Approximately 20 ophthalmology procedures are performed annually in the inpatient surgical area.
- The study highlights the critical role of the ophthalmic nurse in managing pediatric patients under general anesthesia.
Conclusions:
- Effective nursing care and vigilance are paramount for pediatric patients undergoing ophthalmic surgery.
- Distraction techniques can aid in managing pediatric patients during procedures.
- Collaboration between ophthalmic nurses and anesthesiologists is crucial for patient safety.
Abstract:
Providing nursing care to pediatric patients is both challenging and rewarding. The pediatric ophthalmic caregiver must remain acutely aware of physiologic changes, which may be subtle. Though most pediatric procedures are performed by an anesthesiologist using general anesthesia, the ophthalmic nurse needs to remain vigilant. Problems that arise must be attended to within mere seconds. This paper discusses distraction techniques and gives an overview of the care provided to children under general anesthesia at a major pediatric specialty hospital. This paper relates one ophthalmic nurse's experiences in a hospital-based outpatient surgery center that employs 14 board-certified faculty pediatric anesthesiologists as well as rotational anesthesia residents in their first, second, third, and fellowship years. The outpatient center has five operating rooms, and the inpatient surgery area has 14 operating rooms. Nearly 800 pediatric ophthalmology procedures are done in the outpatient area each year; approximately 20 ophthalmology procedures are done at the inpatient surgery area annually.
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