Peribulbar Injection and Direct Infiltration for Vitreoretinal Surgery

Sedation for Vitreoretinal Surgery: A Comparison of Anaesthetist-Administered Midazolam and Patient-Controlled Sedation with Propofol

“…There were, however, a few trends in favour of propofol. Repeat surgery has previously been reported to be associated with greater pain and discomfort 1 , and the same association was seen in this study. Despite the fact that a greater proportion of propofol patients were having repeat surgery, there was, overall, no significant difference between the two drugs in the subjectively assessed measures of pain or discomfort.…”

“…An important outcome of this study is the demonstration of satisfaction of the surgeon, the anaesthetist and the patients with vitreoretinal surgery carried out under local anaesthesia, whether anaesthetist-administered midazolam or patient-controlled sedation with propofol is used. The successful use of local anaesthesia for vitreoretinal surgery 1,6,7,23,24 has encouraged some centres to perform the procedure on a day patient basis. The technical success rate of such management equals that of patients managed traditionally with general anaesthesia and hospitalization 25 , and the majority of patients are satisfied 26 .…”

“…Local anaesthesia is now frequently used for vitreoretinal surgery, although there is controversy about its limitations in repeat surgery 1 , prolonged surgery 2 , and scleral buckling or combined scleral buckling and vitrectomy 3 .…”

“…Sedation will also assist in covering short periods of time when the local anaesthesia needs supplementing. This has been reported to be required in a varying proportion of patients, between 19 and 80%, depending on several factors, including the exact type of surgery [1][2][3]6,7 .…”

Sedation for Vitreoretinal Surgery: A Comparison of Anaesthetist-Administered Midazolam and Patient-Controlled Sedation with Propofol

“…There were, however, a few trends in favour of propofol. Repeat surgery has previously been reported to be associated with greater pain and discomfort 1 , and the same association was seen in this study. Despite the fact that a greater proportion of propofol patients were having repeat surgery, there was, overall, no significant difference between the two drugs in the subjectively assessed measures of pain or discomfort.…”

“…An important outcome of this study is the demonstration of satisfaction of the surgeon, the anaesthetist and the patients with vitreoretinal surgery carried out under local anaesthesia, whether anaesthetist-administered midazolam or patient-controlled sedation with propofol is used. The successful use of local anaesthesia for vitreoretinal surgery 1,6,7,23,24 has encouraged some centres to perform the procedure on a day patient basis. The technical success rate of such management equals that of patients managed traditionally with general anaesthesia and hospitalization 25 , and the majority of patients are satisfied 26 .…”

“…Local anaesthesia is now frequently used for vitreoretinal surgery, although there is controversy about its limitations in repeat surgery 1 , prolonged surgery 2 , and scleral buckling or combined scleral buckling and vitrectomy 3 .…”

“…Sedation will also assist in covering short periods of time when the local anaesthesia needs supplementing. This has been reported to be required in a varying proportion of patients, between 19 and 80%, depending on several factors, including the exact type of surgery [1][2][3]6,7 .…”

A catheter technique in ophthalmic regional anaesthesia

“…c Acta Anaesthesiologica Scandinavica 44 (2000) the orbit by means of a sharp needle implies also a risk of ocular perforation (5). Attempts were made to minimize the risk of this complication (6)(7)(8)(9)(10). In this technique, one or more incisions are made on the conjunctiva and on the Tenon's capsule and a flexible catheter is introduced into the sub-Tenon's space.…”

Sedation for Vitreoretinal Surgery: A Comparison of Anaesthetist-Administered Midazolam and Patient-Controlled Sedation with Propofol

“…There were, however, a few trends in favour of propofol. Repeat surgery has previously been reported to be associated with greater pain and discomfort 1 , and the same association was seen in this study. Despite the fact that a greater proportion of propofol patients were having repeat surgery, there was, overall, no significant difference between the two drugs in the subjectively assessed measures of pain or discomfort.…”

“…An important outcome of this study is the demonstration of satisfaction of the surgeon, the anaesthetist and the patients with vitreoretinal surgery carried out under local anaesthesia, whether anaesthetist-administered midazolam or patient-controlled sedation with propofol is used. The successful use of local anaesthesia for vitreoretinal surgery 1,6,7,23,24 has encouraged some centres to perform the procedure on a day patient basis. The technical success rate of such management equals that of patients managed traditionally with general anaesthesia and hospitalization 25 , and the majority of patients are satisfied 26 .…”

“…Local anaesthesia is now frequently used for vitreoretinal surgery, although there is controversy about its limitations in repeat surgery 1 , prolonged surgery 2 , and scleral buckling or combined scleral buckling and vitrectomy 3 .…”

“…Sedation will also assist in covering short periods of time when the local anaesthesia needs supplementing. This has been reported to be required in a varying proportion of patients, between 19 and 80%, depending on several factors, including the exact type of surgery [1][2][3]6,7 .…”

A catheter technique in ophthalmic regional anaesthesia

“…c Acta Anaesthesiologica Scandinavica 44 (2000) the orbit by means of a sharp needle implies also a risk of ocular perforation (5). Attempts were made to minimize the risk of this complication (6)(7)(8)(9)(10). In this technique, one or more incisions are made on the conjunctiva and on the Tenon's capsule and a flexible catheter is introduced into the sub-Tenon's space.…”

Sedation for Vitreoretinal Surgery: A Comparison of Anaesthetist-Administered Midazolam and Patient-Controlled Sedation with Propofol

“…There were, however, a few trends in favour of propofol. Repeat surgery has previously been reported to be associated with greater pain and discomfort 1 , and the same association was seen in this study. Despite the fact that a greater proportion of propofol patients were having repeat surgery, there was, overall, no significant difference between the two drugs in the subjectively assessed measures of pain or discomfort.…”

“…An important outcome of this study is the demonstration of satisfaction of the surgeon, the anaesthetist and the patients with vitreoretinal surgery carried out under local anaesthesia, whether anaesthetist-administered midazolam or patient-controlled sedation with propofol is used. The successful use of local anaesthesia for vitreoretinal surgery 1,6,7,23,24 has encouraged some centres to perform the procedure on a day patient basis. The technical success rate of such management equals that of patients managed traditionally with general anaesthesia and hospitalization 25 , and the majority of patients are satisfied 26 .…”

“…Local anaesthesia is now frequently used for vitreoretinal surgery, although there is controversy about its limitations in repeat surgery 1 , prolonged surgery 2 , and scleral buckling or combined scleral buckling and vitrectomy 3 .…”

“…Sedation will also assist in covering short periods of time when the local anaesthesia needs supplementing. This has been reported to be required in a varying proportion of patients, between 19 and 80%, depending on several factors, including the exact type of surgery [1][2][3]6,7 .…”

A catheter technique in ophthalmic regional anaesthesia

“…c Acta Anaesthesiologica Scandinavica 44 (2000) the orbit by means of a sharp needle implies also a risk of ocular perforation (5). Attempts were made to minimize the risk of this complication (6)(7)(8)(9)(10). In this technique, one or more incisions are made on the conjunctiva and on the Tenon's capsule and a flexible catheter is introduced into the sub-Tenon's space.…”