Topical Anesthesia Combined with Patient-Controlled Sedation Analgesia (PCSA) for Posterior Vitrectomy.
- Author:
Jun Woong MOON
1
;
Young Jin LIM
;
Hum CHUNG
;
Hyung Gon YU
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, 1 Seoul, Korea. hgonyu@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Patient-controlled sedation analgesia;
Posterior vitrectomy;
Topical anesthesia
- MeSH:
Analgesia*;
Anesthesia*;
Hemodynamics;
Humans;
Respiratory Insufficiency;
Seoul;
Sex Ratio;
Vitrectomy*
- From:Journal of the Korean Ophthalmological Society
2005;46(5):787-792
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate the effects of topical anesthesia combined with patient-controlled sedation analgesia for posterior vitrectomy. METHODS: All patients requiring vitrectomy from December 2003 to January 2004 at Seoul National University Hospital underwent surgery with topical anesthesia combined with patient-controlled sedation analgesia. The levels of intraoperative pain and sedation were recorded. The associations of operation time, combined vitreoretinal procedures, and age with intraoperative pain were investigated. Hemodynamic instability and respiratory depression were checked throughout the operation. RESULTS: Forty-three patients (53 eyes) underwent vitrectomy under topical anesthesia combined with patient-controlled sedation analgesia. The mean age was 51.75 +/- 13.68 years and the sex ratio was 25: 28 (male: female). The mean of VAS (visual analogue scale) was 53.61 (5 ~ 67). The level of intraoperative sedation was grade 1 (64%) or 2 (36%). No anesthesia-associated complications were found. CONCLUSIONS: In spite of relatively high VAS, there were no remarkable difficulties in performing posterior vitrectomy and appropriate levels of intraoperative sedation and cooperation were available without anesthesia-associated complications.
