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...

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Veröffentlicht in:Journal of clinical anesthesia 1992, Vol.4 (1), p.39-41
Hauptverfasser: Boskovski, Nikola A., Bormes, Paul, Landers, Dennis F.
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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
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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
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