Anesthetic management for the high-risk ophthalmic patient
A 69-year-old white female presented for corneal transplant, but her numerous medical problems placed her at unacceptably high risk for prolonged general anesthesia. Routine monitored anesthesia care measures would not have provided her or the surgeon the comfort and repose necessary, for a successf...
Gespeichert in:
Veröffentlicht in: | Journal of clinical anesthesia 1992, Vol.4 (1), p.39-41 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 41 |
---|---|
container_issue | 1 |
container_start_page | 39 |
container_title | Journal of clinical anesthesia |
container_volume | 4 |
creator | Boskovski, Nikola A. Bormes, Paul Landers, Dennis F. |
description | A 69-year-old white female presented for corneal transplant, but her numerous medical problems placed her at unacceptably high risk for prolonged general anesthesia. Routine monitored anesthesia care measures would not have provided her or the surgeon the comfort and repose necessary, for a successful outcome. We describe anesthetic management for ophthalmic surgery, using epidural anesthesia in conjunction with retrobulbar block, in an elderly patient at high risk for general anesthesia whose intractable back and leg pain would have otherwise precluded her cooperation in maintaining a motionless operative field. |
doi_str_mv | 10.1016/0952-8180(92)90118-K |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72818873</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>095281809290118K</els_id><sourcerecordid>72818873</sourcerecordid><originalsourceid>FETCH-LOGICAL-c272t-9195029c5158893828db82eab581263a2bcce7577dd9c7780a27f5f188b2b0da3</originalsourceid><addsrcrecordid>eNp9kE1PxCAURYnRjOPoP9CkK6OLKtChgAuTycSvzCRudE0ofZ2i_RJaE_-9jJ3ozhUJ97wH9yB0SvAVwSS9xpLRWBCBLyS9lJgQEa_20JQInsRzRuU-mv4ih-jI-zeMcQjIBE0Im-MkTafoZtGA70vorYlq3egN1ND0UdG6KNxGpd2UsbP-PWq7si91VQeu070N0DE6KHTl4WR3ztDr_d3L8jFePz88LRfr2FBO-1gSyTCVhhEmhEwEFXkmKOiMCULTRNPMGOCM8zyXhnOBNeUFK4gQGc1wrpMZOh_3dq79GMJvVW29garSDbSDV5yGhqF0AOcjaFzrvYNCdc7W2n0pgtVWmdr6UFsfSlL1o0ytwtjZbv-Q1ZD_DY2OQn475hBKflpwypvQ30BuHZhe5a39_4FvIF154g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72818873</pqid></control><display><type>article</type><title>Anesthetic management for the high-risk ophthalmic patient</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Boskovski, Nikola A. ; Bormes, Paul ; Landers, Dennis F.</creator><creatorcontrib>Boskovski, Nikola A. ; Bormes, Paul ; Landers, Dennis F.</creatorcontrib><description>A 69-year-old white female presented for corneal transplant, but her numerous medical problems placed her at unacceptably high risk for prolonged general anesthesia. Routine monitored anesthesia care measures would not have provided her or the surgeon the comfort and repose necessary, for a successful outcome. We describe anesthetic management for ophthalmic surgery, using epidural anesthesia in conjunction with retrobulbar block, in an elderly patient at high risk for general anesthesia whose intractable back and leg pain would have otherwise precluded her cooperation in maintaining a motionless operative field.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/0952-8180(92)90118-K</identifier><identifier>PMID: 1540366</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Analgesia, Epidural - methods ; anesthetic management for the elderly ; Bupivacaine - administration & dosage ; Corneal Transplantation - methods ; Epidural anesthesia ; Eye - innervation ; eye surgery ; Eyelids - innervation ; Female ; Humans ; intractable low back pain ; Lidocaine - administration & dosage ; Midazolam - administration & dosage ; Nerve Block ; retrobulbar block</subject><ispartof>Journal of clinical anesthesia, 1992, Vol.4 (1), p.39-41</ispartof><rights>1992</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c272t-9195029c5158893828db82eab581263a2bcce7577dd9c7780a27f5f188b2b0da3</citedby><cites>FETCH-LOGICAL-c272t-9195029c5158893828db82eab581263a2bcce7577dd9c7780a27f5f188b2b0da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0952-8180(92)90118-K$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,4025,27928,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1540366$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boskovski, Nikola A.</creatorcontrib><creatorcontrib>Bormes, Paul</creatorcontrib><creatorcontrib>Landers, Dennis F.</creatorcontrib><title>Anesthetic management for the high-risk ophthalmic patient</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>A 69-year-old white female presented for corneal transplant, but her numerous medical problems placed her at unacceptably high risk for prolonged general anesthesia. Routine monitored anesthesia care measures would not have provided her or the surgeon the comfort and repose necessary, for a successful outcome. We describe anesthetic management for ophthalmic surgery, using epidural anesthesia in conjunction with retrobulbar block, in an elderly patient at high risk for general anesthesia whose intractable back and leg pain would have otherwise precluded her cooperation in maintaining a motionless operative field.</description><subject>Aged</subject><subject>Analgesia, Epidural - methods</subject><subject>anesthetic management for the elderly</subject><subject>Bupivacaine - administration & dosage</subject><subject>Corneal Transplantation - methods</subject><subject>Epidural anesthesia</subject><subject>Eye - innervation</subject><subject>eye surgery</subject><subject>Eyelids - innervation</subject><subject>Female</subject><subject>Humans</subject><subject>intractable low back pain</subject><subject>Lidocaine - administration & dosage</subject><subject>Midazolam - administration & dosage</subject><subject>Nerve Block</subject><subject>retrobulbar block</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PxCAURYnRjOPoP9CkK6OLKtChgAuTycSvzCRudE0ofZ2i_RJaE_-9jJ3ozhUJ97wH9yB0SvAVwSS9xpLRWBCBLyS9lJgQEa_20JQInsRzRuU-mv4ih-jI-zeMcQjIBE0Im-MkTafoZtGA70vorYlq3egN1ND0UdG6KNxGpd2UsbP-PWq7si91VQeu070N0DE6KHTl4WR3ztDr_d3L8jFePz88LRfr2FBO-1gSyTCVhhEmhEwEFXkmKOiMCULTRNPMGOCM8zyXhnOBNeUFK4gQGc1wrpMZOh_3dq79GMJvVW29garSDbSDV5yGhqF0AOcjaFzrvYNCdc7W2n0pgtVWmdr6UFsfSlL1o0ytwtjZbv-Q1ZD_DY2OQn475hBKflpwypvQ30BuHZhe5a39_4FvIF154g</recordid><startdate>1992</startdate><enddate>1992</enddate><creator>Boskovski, Nikola A.</creator><creator>Bormes, Paul</creator><creator>Landers, Dennis F.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1992</creationdate><title>Anesthetic management for the high-risk ophthalmic patient</title><author>Boskovski, Nikola A. ; Bormes, Paul ; Landers, Dennis F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c272t-9195029c5158893828db82eab581263a2bcce7577dd9c7780a27f5f188b2b0da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Aged</topic><topic>Analgesia, Epidural - methods</topic><topic>anesthetic management for the elderly</topic><topic>Bupivacaine - administration & dosage</topic><topic>Corneal Transplantation - methods</topic><topic>Epidural anesthesia</topic><topic>Eye - innervation</topic><topic>eye surgery</topic><topic>Eyelids - innervation</topic><topic>Female</topic><topic>Humans</topic><topic>intractable low back pain</topic><topic>Lidocaine - administration & dosage</topic><topic>Midazolam - administration & dosage</topic><topic>Nerve Block</topic><topic>retrobulbar block</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boskovski, Nikola A.</creatorcontrib><creatorcontrib>Bormes, Paul</creatorcontrib><creatorcontrib>Landers, Dennis F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boskovski, Nikola A.</au><au>Bormes, Paul</au><au>Landers, Dennis F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anesthetic management for the high-risk ophthalmic patient</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>1992</date><risdate>1992</risdate><volume>4</volume><issue>1</issue><spage>39</spage><epage>41</epage><pages>39-41</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>A 69-year-old white female presented for corneal transplant, but her numerous medical problems placed her at unacceptably high risk for prolonged general anesthesia. Routine monitored anesthesia care measures would not have provided her or the surgeon the comfort and repose necessary, for a successful outcome. We describe anesthetic management for ophthalmic surgery, using epidural anesthesia in conjunction with retrobulbar block, in an elderly patient at high risk for general anesthesia whose intractable back and leg pain would have otherwise precluded her cooperation in maintaining a motionless operative field.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>1540366</pmid><doi>10.1016/0952-8180(92)90118-K</doi><tpages>3</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0952-8180 |
ispartof | Journal of clinical anesthesia, 1992, Vol.4 (1), p.39-41 |
issn | 0952-8180 1873-4529 |
language | eng |
recordid | cdi_proquest_miscellaneous_72818873 |
source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
subjects | Aged Analgesia, Epidural - methods anesthetic management for the elderly Bupivacaine - administration & dosage Corneal Transplantation - methods Epidural anesthesia Eye - innervation eye surgery Eyelids - innervation Female Humans intractable low back pain Lidocaine - administration & dosage Midazolam - administration & dosage Nerve Block retrobulbar block |
title | Anesthetic management for the high-risk ophthalmic patient |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-15T07%3A08%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Anesthetic%20management%20for%20the%20high-risk%20ophthalmic%20patient&rft.jtitle=Journal%20of%20clinical%20anesthesia&rft.au=Boskovski,%20Nikola%20A.&rft.date=1992&rft.volume=4&rft.issue=1&rft.spage=39&rft.epage=41&rft.pages=39-41&rft.issn=0952-8180&rft.eissn=1873-4529&rft_id=info:doi/10.1016/0952-8180(92)90118-K&rft_dat=%3Cproquest_cross%3E72818873%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=72818873&rft_id=info:pmid/1540366&rft_els_id=095281809290118K&rfr_iscdi=true |