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Anesthesia for pediatric ophthalmologic surgery

Brian Waldschmidt1, Noah Gordon2

  • 1Department of Anesthesiology, University of Vermont Medical Center, Burlington, Vermont.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|April 18, 2019
PubMed

Insights

This review provides updated anesthetic management guidelines for pediatric strabismus surgery. It covers preoperative care, airway management, the oculocardiac reflex, and postoperative complications, including neurotoxicity concerns.

Area of Science:

  • Anesthesiology
  • Pediatric Ophthalmology

Background:

  • Strabismus surgery in children typically requires general anesthesia.
  • Existing anesthetic protocols need updates based on recent clinical research and safety warnings.

Purpose of the Study:

  • To present updated recommendations for the anesthetic management of strabismus surgery in children.
  • To address key considerations including preoperative care, airway management, and potential complications.

Main Methods:

  • Review of existing clinical research on pediatric anesthesia for eye surgery.
  • Synthesis of recommendations for preoperative anxiolysis, fasting, and infection management.
  • Discussion of airway considerations, oculocardiac reflex, and postoperative issues.

Main Results:

  • Updated guidelines incorporate preoperative care, airway management, and oculocardiac reflex mitigation.
  • Recommendations address prevention of postoperative complications, including opioid therapy.
  • Recent studies on anesthetic neurotoxicity in children are discussed in light of FDA warnings.

Conclusions:

  • Comprehensive anesthetic management is crucial for safe pediatric strabismus surgery.
  • Guidelines emphasize minimizing risks associated with general anesthesia in children.
  • Ongoing research into anesthetic neurotoxicity informs current practice recommendations.

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