Patient-controlled analgesia and sedation with fentanyl in phacoemulsification under topical anesthesia

Abstract

The results of this study suggest that IV PCA with fentanyl has supplemental effects on analgesia and sedation during cataract surgery under topical anesthesia and increases patient comfort and surgeon satisfaction.

Oral diazepam versus intravenous midazolam for conscious sedation during cataract surgery performed using topical anesthesia

“…In addition, it would be cost effective, safe, and predictable and allow for rapid postoperative recovery with minimal side effects. 4,10 Intravenous midazolam and oral diazepam were the sedatives chosen for comparison in this study. Midazolam is a short-acting benzodiazepine that is frequently used intravenously for conscious sedation, anxiolysis, and amnesia during surgical procedures.…”

“…They are expected to be fast, performed with minimal pain and inconvenience to the patient, and result in excellent visual outcomes. [1][2][3][4][5] Cataract surgery is unique among outpatient procedures in that success requires not only exquisite control and precision on the part of the surgeon but also close cooperation between the surgeon and patient at appropriate times. It has been recognized that directing patients in voluntary movements of the globe and eyelids during cataract extraction without retrobulbar anesthesia may help surgeons achieve improved exposure and surgical success.…”

A prospective, randomized, double-blinded comparison of ropivacaine 0.5%, 0.75%, and 1% ropivacaine for peribulbar block

“…However, one must remember that topical anesthesia without complete akinesia is not the preferred technique for the patient, 13,14 who often requires imple- mentation with sedative and analgesic drugs. 15 Furthermore, several clinical situations, such as vitreoretinal procedures, corneal transplantation, phacodonesis, iridoplasty, and uncooperative patients, require complete akinesia of the operated eye to complete the procedure safely. In these cases, the use of 0.5% ropivacaine may be inadequate.…”

The role of sedation on cataract surgery

“…Bu tekniğin oftalmik cerrahide başarılı uygulamaları değişik çalışmalarda rapor edilmiştir (43)(44)(45). Bu tekniğin temel avantajı artmış hasta memnuniyetidir.…”