Ophthalmic regional blocks: management, challenges, and solutions

Local and Regional Anesthesia
Howard D Palte

Abstract

In the past decade ophthalmic anesthesia has witnessed a major transformation. The sun has set on the landscape of ophthalmic procedures performed under general anesthesia at in-hospital settings. In its place a new dawn has ushered in the panorama of eye surgeries conducted under regional and topical anesthesia at specialty eye care centers. The impact of the burgeoning geriatric population is that an increasing number of elderly patients will present for eye surgery. In order to accommodate increased patient volumes and simultaneously satisfy administrative initiatives directed at economic frugality, administrators will seek assistance from anesthesia providers in adopting measures that enhance operating room efficiency. The performance of eye blocks in a holding suite meets many of these objectives. Unfortunately, most practicing anesthesiologists resist performing ophthalmic regional blocks because they lack formal training. In future, anesthesiologists will need to block eyes and manage common medical conditions because economic pressures will eliminate routine preoperative testing. This review addresses a variety of topical issues in ophthalmic anesthesia with special emphasis on cannula and needle-based blocks and the ne...Continue Reading

Citations

Dec 13, 2016·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Kanwal S MatharuAndrew G Lee
Nov 28, 2016·American Journal of Ophthalmology·William J AresL Dade Lunsford
Oct 11, 2017·Anesthesia and Analgesia·Karen C NanjiJoseph Bayes
Nov 10, 2017·Ophthalmic Surgery, Lasers & Imaging Retina·Michael Y K MakWai-Ching Lam
Dec 21, 2017·Regional Anesthesia and Pain Medicine·Lan YaoYi Feng
Jan 25, 2019·Anesthesia and Analgesia·Yuel-Kai JeanAlecia L S Stein
Dec 20, 2019·Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research·Anna Carolina Ratto Tempestini-HorlianaMaria Aparecida Borsatti
Nov 3, 2020·European Journal of Ophthalmology·Denismar B MirandaFrancisco W Rodrigues
Oct 24, 2020·International Ophthalmology Clinics·Tahira M Scholle
Dec 21, 2020·Veterinary Anaesthesia and Analgesia·Andrew FosterJaime Viscasillas
Apr 13, 2021·American Journal of Ophthalmology Case Reports·Luai Eldweik
Jul 13, 2020·Veterinary Anaesthesia and Analgesia·Kyle J BartholomewMichael R Lasarev
Aug 16, 2021·Veterinary Anaesthesia and Analgesia·Adelaide GrecoLeonardo Meomartino

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Methods Mentioned

BETA
sedation
imaging techniques
dissection

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