Anaesthesia for paediatric eye surgery

Abstract: Local anaesthesia is often the technique of choice for ophthalmic procedures performed on adults, however general anaesthesia is usually required for procedures on children. The majority of paediatric patients are fit and healthy but there is a minority in whom the presenting eye complaint is related to a congenital disorder, which may have significant bearing on the conduct of anaesthesia.Management of the airway and presentation of a quiescent eye for surgery are key considerations, while control of the oculocardiac reflex and intraocular pressure are important both intraoperatively and postoperatively. Intraocular pressure is affected by almost all aspects of general anaesthesia and should be considered when choosing an anaesthetic technique.Ocular surgery is emetogenic and without prophylaxis is associated with a high incidence of postoperative nausea and vomiting which should be addressed using multi-modal techniques. Most procedures are associated with mild-to-moderate postoperative pain and can usually be managed with simple analgesia.Examination under anaesthesia, intraocular surgery, correction of squint and emergency ophthalmic surgery each presents its own challenge and all are discussed.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Authors: Tags: Ophthalmic Anaesthesia Source Type: research