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Sedation during ophthalmic surgery

Published online by Cambridge University Press:  01 September 2008

D. L. Greenhalgh
Affiliation:
Wythenshawe Hospital, Wythenshawe, Manchester, UK
C. M. Kumar*
Affiliation:
The James Cook University Hospital, Middlesbrough, UK
*
Correspondence to: Chandra M. Kumar, Department of Anaesthesia, The James Cook University Hospital, Middlesbrough TS4 3BW, UK. E-mail: [email protected]; Tel.: +1 642 854600; Fax: +1 642 854246
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Summary

Sedation is frequently used during ophthalmic regional anaesthesia. There is no ‘ideal’ drug for sedation or analgesia. Various drugs either alone or in combination have been used with different methods of administration. This review includes the roles of sedation, the pharmacology of drugs and the safety of sedation in patients undergoing ophthalmic surgery.

Type
Review
Copyright
Copyright © European Society of Anaesthesiology 2008

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References

1.Leaming, DV. Practice styles and preferences of ASCRS members – 2003 survey. J Cataract Refract Surg 2004; 30: 892900.CrossRefGoogle ScholarPubMed
2.MacPherson, R. Structured assessment tool to evaluate patient suitability for cataract surgery under local anaesthesia. Br J Anaesth 2004; 93: 521524.CrossRefGoogle ScholarPubMed
3.Tan, CS, Eng, KG, Kumar, CM. Visual experiences during cataract surgery: what anaesthesia providers should know. Eur J Anaesthesiol 2005; 22: 413419.CrossRefGoogle ScholarPubMed
4.Prasad, N, Kumar, CM, Patil, BB, Dowd, TC. Subjective visual experience during phacoemulsification cataract surgery under sub-Tenon’s block. Eye 2003; 17: 407409.CrossRefGoogle ScholarPubMed
5.Wickremasinghe, SS, Tranos, PG, Sinclair, N, Andreou, PS, Harris, ML, Little, BC. Visual perception during phacoemulsification cataract surgery under subtenons anaesthesia. Eye 2003; 17: 501505.CrossRefGoogle ScholarPubMed
6.Voon, LW, Au Eng, KG, Saw, SM, Verma, D, Laude, A. Effect of preoperative counselling on patient fear from the visual experience during phakoemulsificaion under topical anesthesia: multicenter randomised clinical trial. J Cataract Refract Surg 2005 ; 31: 19661969.CrossRefGoogle Scholar
7.Leo, SW, Lee, LK, Au Eong, KG. Visual experience during phacoemulsification under topical anaesthesia: a nationwide survey of Singapore ophthalmologists. Clin Exp Opthalmol 2005; 33: 578581.CrossRefGoogle ScholarPubMed
8.Myles, PS, Williams, DL, Hendrata, M, Anderson, H, Weeks, AM. Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10811 patients. Br J Anaesth 2000; 84: 610.CrossRefGoogle Scholar
9.Coyle, TT, Helfick, JF, Gonzalez, ML, Andresen, RV, Perratt, DH. Office-based ambulatory anesthesia: factors that influence patient satisfaction or dissatisfaction with deep sedation/general anesthesia. J Oral Maxillofac surg 2005; 63: 163172.CrossRefGoogle ScholarPubMed
10.Tong, D, Chung, F, Wong, D. Predictive factors in global anaesthesia satisfaction in ambulatory surgical patients. Anesthesiology 1997; 87: 856864.CrossRefGoogle ScholarPubMed
11. Local Anaesthesia for Intraocular Surgery: The Royal College of Anaesthetists and The Royal College of Ophthalmologists 2001 (http://www.rcoa.ac.uk/docs/RCARCOGuidelines.pdf. website accessed on 4th November 2007).Google Scholar
12. Agency for Healthcare Research and Quality. Evidence Report/Technology Assessment: Number 16: Anaesthesia Management During Cataract Surgery (Internet Web address – http://www.ahrq.gov. Accessed on 19th October 2007).Google Scholar
13.Kumar, CM, Dowd, TC. Complications of ophthalmic regional blocks: their treatment and prevention. Ophthalmologica 2006; 220: 7382.CrossRefGoogle ScholarPubMed
14.Balkan, BK, Iyillkici, L, Gunenc, F et al. Comparisons of sedation requirements for cataract surgery under topical anesthesia or retrobulbar block. Euro J Opthalmol 2004; 14: 473477.CrossRefGoogle ScholarPubMed
15.Friedman, DS, Reeves, SW, Bass, EB, Lubomski, LH, Fleisher, LA, Schein, OD. Patient preferences for anaesthesia management during cataract surgery. Br J Ophthalmol 2004; 88: 333335.CrossRefGoogle ScholarPubMed
16.Katz, J, Feldman, MA, Bass, EB et al. Study of medical testing for cataract surgery study team. Adverse intraoperative medical events and their association with anesthesia management strategies in cataract surgery. Ophthalmology 2001; 108: 17211726.CrossRefGoogle Scholar
17. JACHO. Revisions to anesthesia care standards. Comprehensive Accreditation Manual for Ambulatory Care. Effective January 1, 2001. (http//www.jacho/standards/anesamb.html. Website accessed on December 31, 2005).Google Scholar
18. ASA Committee on Quality Management and Departmental Administration (Continuum of depth of sedation, definition of general anesthesia and levels of sedation/analgesia (approved by ASA house of delegates on October 13, 1999, amended on October 27, 2004) (http://www.asahq.org/publicationsAndServices/standards/20.pdf. Website accessed on 4th November 2007).Google Scholar
19.Schlager, A, Luger, TJ. Oxygen application by a nasal probe prevents hypoxia but not rebreathing of carbon dioxide in patients undergoing eye surgery under local anaesthesia. Br J Ophthalmol 2000; 84: 399402.CrossRefGoogle Scholar
20.Ramsay, MA, Savage, TM, Simpson, BR et al. Controlled sedation with alphaxalone-alphadolone. Br Med J 1974; 22: 656659.CrossRefGoogle Scholar
21.Chernik, DA, Gillings, D, Laine, H et al. Validity and reliability of the Observer’s Assessment of Awareness/Sedation Scale: study with intravenous midazolam. J Clin Psychopharmacol 1992; 12: 4348.Google Scholar
22.Chernik, DA, Tucker, M, Gigli, B et al. Validity and reliability of the Neurobehavioral Assessment Scale. J Clin Psychopharmacol 1992; 12: 4348.CrossRefGoogle ScholarPubMed
23.Macnab, AJ, Levine, M, Glick, N et al. A research tool for measurement of recovery from sedation: the Vancouver Sedative Recovery Scale. J Pediatr Surg 1991; 26: 12631267.CrossRefGoogle ScholarPubMed
24.Malviya, S, Vopel-Lewis, T, Tait, AR et al. Depth of sedation in children undergoing computer tomography: validity and reliability of the University of Michigan Sedation Scale (UMSS). Br J Anaesth 2002; 88: 241245.CrossRefGoogle ScholarPubMed
25.Herrick, IA, Gelb, AW, Nichols, B, Kirkby, J. Patient-controlled propofol sedation for elderly patients: safety and patient attitude toward control. Canadian J Anesth 1996; 43: 10141018.CrossRefGoogle ScholarPubMed
26.Janzen, PR, Christys, A, Vucevic, M. Patient-controlled sedation using propofol in elderly patients in day-case cataract surgery. Br J Anaesth 1999; 82: 635636.CrossRefGoogle ScholarPubMed
27.Janzen, PRM, Hall, WJ, Hopkins, PM. Setting targets for sedation with a target-controlled propofol infusion. Anaesthesia 2000; 55: 666669.CrossRefGoogle ScholarPubMed
28.Habib, NE, Mandour, NM, Balmer, HG. Effect of Midazolam on anxiety level and pain perception in cataract surgery with topical anesthesia. J Cataract Refract Surg 2004; 30: 437443.CrossRefGoogle ScholarPubMed
29.Morley, HR, Karagiannis, A, Schultz, DJ, Walker, JC, Newland, HS. Sedation for vitreoretinal surgery: a comparison of anaesthetist-administered midazolam and patient-controlled sedation with propofol. Anaesth Intensive Care 2000; 28: 3742.CrossRefGoogle ScholarPubMed
30.Irwin, MG, Thompson, N, Kenny, GN. Patient-maintained propofol sedation: assessment of a target-controlled infusion system. Anaesthesia 1997; 52: 525530.CrossRefGoogle ScholarPubMed
31.Pac-Soo, CK, Deacock, S, Lockwood, G, Carr, C, Whitwam, JG. Patient controlled sedation for cataract surgery using peribulbar block. Br J Anaesth 1996; 77: 370374.CrossRefGoogle ScholarPubMed
32.Servin, FS, Raeder, JC, Merle, JC et al. Remifentanil sedation compared with propofol during regional anaesthesia. Acta Anaesthesiol Scand 2002; 46: 309315.CrossRefGoogle ScholarPubMed
33.Jacobi, PC, Dietlein, TS, Jacobi, FK. A comparative study of topical vs retrobulbar anaesthesia in complicated cataract surgery. Arch Ophthalmol 2000; 118: 10371043.CrossRefGoogle ScholarPubMed
34.Boezart, AP, Berry, RA, Nell, MI, Van Dyk, AL. A comparison of propofol and Remifentanil for sedation and limitation of movement during peribulbar block. J Clin Anesh 2001; 13: 2226.Google Scholar
35.Frey, K, Sukhani, R, Pawlowski, J, Pappas, AL, Mikat-Stevens, M, Slogoff, S. Propofol versus Ketamine sedation for retrobulbar nerve block: comparison of sedation quality, intraocular pressure changes and recovery profiles. Anesth Analg 1999; 89: 317321.Google ScholarPubMed
36.Aydin, ON, Ku, F, Ozkan, SB, Gusoy, F. Patient controlled anaesthesia and sedation with Fentanyl in phacoemulsification under topical anesthesia. J Cataract Refract Surg 2002; 28: 19681972.CrossRefGoogle ScholarPubMed
37.Yee, JB, Schafer, PG, Crandall, AS, Pace, NL. Comparison of methohexital and alfentanil on movement during placement of retrobulbar nerve block. Anesth Analg 1994; 79: 320323.CrossRefGoogle ScholarPubMed
38.McHardy, FE, Fortier, J, Chung, F, Krishnathas, A, Marshall, SI. A comparison of Midazolam, Alfentanil and Propofol for sedation in outpatient intraocular surgery. Can J Anaesth 2000; 47: 213214.CrossRefGoogle ScholarPubMed
39.Holas, A, Kraft, P, Marcovic, M, Quehenberger, F. Remifentanil, Propofol or both for conscious sedation during eye surgery under regional anaesthesia. Eur J Anaesthesiol 1999; 16: 741748.CrossRefGoogle ScholarPubMed
40.Lee, YYS, Wong, SM, Hung, CT. Dexmedetomidine infusion as a supplement to isoflurane anaesthesia for vitreoretinal surgery. Br J Anaesth 2007; 98: 477483.CrossRefGoogle ScholarPubMed
41.Madan, R, Bharti, N, Shende, D, Khokhar, SK, Kaul, HL. A dose response study of clonidine with local anesthetic mixture for peribulbar block: a comparison of three doses. Anesth Analg 2001; 93: 15931597.CrossRefGoogle Scholar
42.Mjahed, K, el Harrar, N, Hamdani, M, Amraoui, M, Benaguida, M. Lidocaine-clonidine retrobulbar block for cataract surgery in the elderly. Reg Anesth 1996; 21: 569575.Google ScholarPubMed
43.Katz, J, Feldman, MA, Bass, EB et al. Adverse intraoperative medical events and their association with anesthesia management strategies in cataract surgery. Ophthalmology 2001; 108: 17211726.CrossRefGoogle ScholarPubMed
44.Haberer, JP. Premedication and sedation complications during ophthalmic anaesthesia. J Fr Ophtalmol 2000; 23: 901906.Google Scholar