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Anästhesiologische Verfahren in der Ophthalmologie

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Augenheilkunde

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Zusammenfassung

Die Betreuung ophthalmochirurgischer Patienten stellt aus anästhesiologischer Sicht in vielfältiger Weise hohe Ansprüche an die Qualität der perioperativen medizinischen Versorgung. Häufig handelt es sich um Patienten an den Extremen der Altersskala und nicht selten um polymorbide Risikopatienten. Die Bedeutung der Erhaltung oder Wiederherstellung der Sehfähigkeit hat für die Patienten einen sehr hohen Stellenwert, so daß die Bereitschaft, das Risiko schwerwiegender perioperativer Komplikationen auf sich zu nehmen, ausgeprägt erscheint. Bei vielen kürzeren Eingriffen stehen Lokal- und Allgemeinanästhesie alternativ zur Verfügung und erfordern im Einzelfall ein sorgfältiges Abwägen der speziellen Risiken. Bei kurzen Eingriffen sowie in ambulanten oder tageschirurgischen Einrichtungen werden in der Regel aus zeitlichen und organisatorischen Gründen örtliche Betäubungsverfahren bevorzugt.

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Weiterführende Literatur

  • Ates Y, Alanoglu Z, Uysalel A (1998) Use of the laryngeal mask airway during ophthalmic surgery results in stable circulation and few complications: a prospective audit. Acta Anaesthesiol Scand 42:1180

    Article  PubMed  CAS  Google Scholar 

  • Backlund M, Kirvela M, Lindgren L (1996) Cardiac failure aggravated by timolol eye drops: preoperative improvement by changing to pilocarpine. Acta Anaesthesiol Scand 40:379

    Article  PubMed  CAS  Google Scholar 

  • Bell RW, Butt ZA (1995) Warming lignocaine reduces the pain of injection during peribulbar local anaesthesia for cataract surgery. Br J Ophthalmol 79:1015

    Article  PubMed  CAS  Google Scholar 

  • Bernard JM, Hommeril JL (1997) Prolonged peribulbar anaesthesia with indwelling catheter: a preliminary report of 217 cases. Br J Anaesth 78:81

    Article  PubMed  CAS  Google Scholar 

  • Bowman RJ, Newman DK, Richardson EC, Callear AB, Flanagan DW (1997) Is hyaluronidase helpful for peribulbar anaesthesia? Eye 11:385

    Article  PubMed  Google Scholar 

  • Briggs M, Wong D, Groenewald C, McGalliard J, Kelly J, Harper J (1997) The effect of anaesthesia on the intraocular volume of the C3F8 gas bubble. Eye 11:47

    Article  PubMed  Google Scholar 

  • Chiu CL, Lang CC, Wong PK, Delilkan AE, Wang CY (1998) The effect of mivacurium pretreatment on intra-ocular pressure changes induced by suxamethonium. Anaesthesia 53:501

    Article  PubMed  CAS  Google Scholar 

  • Crawford M, Kerr WJ (1994) The effect of hyaluronidase on peribulbar block. Anaesthesia 49:907

    Article  PubMed  CAS  Google Scholar 

  • De la Coussaye JE, Brugada J, Allessie MA (1992) Electrophysiologic and arrythmogenic effects of bupivacaine. Anesthesiology 77:132

    Article  Google Scholar 

  • Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (1983) Leitlinie für ambulantes Operieren bzw. Tageschirurgie, Voraussetzungen zur Durchführung ambulanter Anästhesieverfahren. Entschließung der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin. Anästh Intensivmed 12:414

    Google Scholar 

  • Edge KR, Davis A (1995) Brainstem anaesthesia following a peribulbar block for eye surgery. Anaesth Intensive Care 23:219

    PubMed  CAS  Google Scholar 

  • Eke T, Thompson JR (1999) The National Survey of Local Anaesthesia for Ocular Surgery. II. Safety profiles of local anaesthesia techniques. Eye 13:196

    Article  PubMed  Google Scholar 

  • Eke T, Thompson JR (1999) The National Survey of Local Anaesthesia for Ocular Surgery. I. Survey methodology and current practice. Eye 13:189

    Article  PubMed  Google Scholar 

  • Felleiter P, Lierz P, Hörauf K, Kress H G (1998) Einsparpotential bei der präoperativen anästhesiologischen Visite am Beispiel einer Präanästhesieambulanz. Anästh Intensivmed 5:392

    Google Scholar 

  • Gao F, Budd AJ (1996) Venous levels of lignocaine and bupivacaine after peribulbar block. Anaesthesia 51:1109

    Article  PubMed  CAS  Google Scholar 

  • Gozal Y, Drenger B, Robertson JE, Davis RF (1998) ST segment changes following retinal surgery. J Clin Anesth 10: 297

    Article  PubMed  CAS  Google Scholar 

  • Hampl KF, Marsch SC, Erb T, Drewe J, Schneider MC (1996) Intravenous sedation for retrobulbar injection and eye surgery: diazepam and/or propofol? Acta Anaesthesiol Scand 40:53

    Article  PubMed  CAS  Google Scholar 

  • Hasselstrom LJ, Mogensen T, Kehlet H, Christensen NJ (1984) Effects of intravenous bupivacaine on cardiovascular function and plasma catecholamine levels in humans. Anesth Analg 63:1053

    PubMed  CAS  Google Scholar 

  • Holas A, Faulborn J (1993): Propofol versus Diazepam. Sedierung bei ophthalmologischen Operationen in Lokalanästhesie. Anaesthesist. 42:766

    PubMed  CAS  Google Scholar 

  • Holas A, Krafft P, Marcovic M, Quehenberger F (1999) Remi-fentanil, propofol or both for conscious sedation during eye surgery under regional anaesthesia. Eur J Anaesthesiol 16:741

    PubMed  CAS  Google Scholar 

  • Huha T, Ala KT, Salomaki T, Alahuhta S (1999) Clinical efficacy and pharmacokinetics of 1 % ropivacaine and 0.75 % bupivacaine in peribulbar anaesthesia for cataract surgery. Anaesthesia 54:137

    Article  PubMed  CAS  Google Scholar 

  • Jayamanne DG, Gillie RF (1996) The effectiveness of perioperative cardiac monitoring and pulse oximetry. Eye 10:130

    Article  PubMed  Google Scholar 

  • Jolliffe DM, Abdel KM, Norton AC (1997) A comparison of topical anaesthesia and retrobulbar block for cataract surgery. Eye 11:858

    Article  PubMed  Google Scholar 

  • Mawer RJ, Coombes AG (1998) Current practice of local anaesthesia for routine ocular surgery. Br J Anaesth 80:241

    Article  PubMed  CAS  Google Scholar 

  • Morgan JE, Chandna A (1995) Intraocular pressure after peribulbar anaesthesia: is the Honan balloon necessary? Br J Ophthalmol 79:46

    Article  PubMed  CAS  Google Scholar 

  • Mount AM, Seward HC (1993) Scleral perforations during peribulbar anaesthesia. Eye 7:766

    Article  PubMed  Google Scholar 

  • O’Donoghue E, Batterbury M, Lavy T (1994) Effect on intraocular pressure of local anaesthesia in eyes undergoing intraocular surgery. Br J Ophthalmol 78:605

    Article  PubMed  Google Scholar 

  • Pirttikangas CO, Salo M, Peltola O (1996) Propofol infusion anaesthesia and the immune response in elderly patients undergoing ophthalmic surgery. Anaesthesia 51:318

    Article  PubMed  CAS  Google Scholar 

  • Reimer EJ, Montgomery CJ, Bevan JC, Merrick PM, Blackstock D, Popovic V (1993) Propofol anaesthesia reduces early postoperative emesis after paediatric strabismus surgery. Can J Anaesth 40:927

    Article  PubMed  CAS  Google Scholar 

  • Rosen E (1993) Anaesthesia for ophthalmic surgery [editorial]. Br J Ophthalmol 77:542

    Article  PubMed  CAS  Google Scholar 

  • Rubin AP (1995) Complications of local anaesthesia for ophthalmic surgery. Br J Anaesth 75:93

    Article  PubMed  CAS  Google Scholar 

  • Ruusuvaara P, Setala K, Pajari S, Ropo A, Paloheim M (1995) Comparison of etidocaine and bupivacaine + lidocaine in retrobulbar anaesthesia. Acta Ophthalmol Scand 73:563

    Article  PubMed  CAS  Google Scholar 

  • Sator S, Wildling E, Schabernig C, Akramian J, Zulus E, Winkler M (1998) Desflurane maintains intraocular pressure at an equivalent level to isoflurane and propofol during unstressed non-ophthalmic surgery. Br J Anaesth 80:243

    Article  PubMed  CAS  Google Scholar 

  • Schlager A (1999) Accumulation of carbon dioxide under ophthalmic drapes during eye surgery: a comparison of three different drapes. Anaesthesia 54:690

    Article  PubMed  CAS  Google Scholar 

  • Singleton RJ, Ludbrook GL, Webb RK, Fox MA (1993) The Australian Incident Monitoring Study. Physical injuries and environmental safety in anaesthesia: an analysis of 2000 incident reports. Anaesth Intensive Care 21:659

    PubMed  CAS  Google Scholar 

  • Tarnow J (1996) Nutzen und Kosten präoperativer „Screen-ing“-Untersuchungen aus anästhesiologischer Sicht. Anästh Intensivmed 37:268

    Google Scholar 

  • Ullerich K (1988) Grundregeln, Vorbereitung, Lokalanästhesie, Nachbehandlung. In: Mackensen G, Neubauer H (Hrsg) Kirschners allgemeine und spezielle Operationslehre. Augenärztliche Operationen Bd. 1. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Van-den Berg AA, Sawa D, Honjol NM (1997) Attenuation of the haemodynamic responses to noxious stimuli in patients undergoing cataract surgery. A comparison of magnesium sulphate, esmolol, lignocaine, nitroglycerine and placebo given I. V. with induction of anaesthesia. Eur J Anaesthesiol 14:134

    Article  PubMed  Google Scholar 

  • Verghese I, Sivaraj R, Lai YK (1996) The effectiveness of sub-Tenon’s infiltration of local anaesthesia for cataract surgery. Aust N Z J Ophthalmol 24:117

    Article  PubMed  CAS  Google Scholar 

  • Walters G, McKibbin M (1997) The value of pre-operative investigations in local anaesthetic ophthalmic surgery. Eye 11:847

    Article  PubMed  Google Scholar 

  • Warner MA, Shields SE, Chute CG (1993) Major morbidity and mortality within 1 month af ambulatory surgery and anesthesia. JAMA 270:1437

    Article  PubMed  CAS  Google Scholar 

  • Wilhelm W, Larsen R (1997) Präoperative Einschätzung für Narkosen. Anaesthesist 46:629

    Article  PubMed  CAS  Google Scholar 

  • Wolters U, Wolf T, Stützer H, Schröder T (1996) ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 77:217

    Article  PubMed  CAS  Google Scholar 

  • Wong DH (1993) Regional anaesthesia for intraocular surgery. Can J Anaesth 40:635

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Universitäts-Augenklinik, Langenbeckstraße 1, 55131, Mainz, Deutschland

    Prof. Dr. Albert J. Augustin

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  1. Prof. Dr. Albert J. Augustin
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© 2001 Springer-Verlag Berlin Heidelberg

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Augustin, A.J. (2001). Anästhesiologische Verfahren in der Ophthalmologie. In: Augenheilkunde. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05919-7_20

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  • DOI: https://doi.org/10.1007/978-3-662-05919-7_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-05920-3

  • Online ISBN: 978-3-662-05919-7

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