SUB-TENON'S PINPOINT ANESTHESIA - 08/09/11
Doi : 10.1016/S0896-1549(05)70138-3
Résumé |
I developed sub-Tenon's pinpoint anesthesia (STPA) to overcome the potential problems inherent in retrobulbar anesthesia, including globe perforation, optic nerve trauma, orbital hemorrhage, respiratory depression, postoperative diplopia, and ptosis. Retrobulbar anesthesia can also be painful, and patients often express fear and anxiety and thus require sedation.
An ideal ocular anesthetic technique should satisfy the following criteria:
1 | It should be safe. Instruments introduced into the orbit must be blunt to avoid trauma to orbit contents. Maximum visualization of ocular structures must be obtained and blind passage of potentially harmful instruments avoided. Anesthetic volume should be minimal to limit the effects of increased pressure within the orbit. |
2 | It should be effective. Rapid, dependable, and complete anesthesia of all necessarily involved ocular structures must be obtained without producing unnecessary anesthetic or akinetic side effects. |
3 | Patient satisfaction should be high. Patients should have little apprehension regarding the procedure before surgery, limited discomfort during the procedure, and few postoperative side effects. |
Plan
| Address reprint requests to Hideharu Fukasaku, MD, Fukasaku Eye Center, Yokohama S.T. Building, 1-11-15 Kitasaiwai, Nishi-ku, Yokohama, Japan 220 |
© 1998
W. B. Saunders Company. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 11 - N° 1
P. 127-129 - mars 1998 Retour au numéro
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?