The value of pre-operative investigations in local anaesthetic ophthalmic surgery

Eye
G Walters, M McKibbin

Abstract

This study was performed to assess the value of routine investigations performed on ophthalmic patients undergoing local anaesthetic surgery. Patients attending the pre-operative assessment had investigations ordered as outlined in accordance with the guidelines of the Joint Working Party on Anaesthesia in Ophthalmic Surgery. The results of investigations were sealed in a clearly marked envelope and stapled to a prominent position on the notes. Any envelopes found unopened at the end of surgery were assumed to have been unseen by either the anaesthetist or surgeon. The effects on patient management were noted. Abnormal results were found in 102 of 314 investigations performed in 100 patients. Of the 100 envelopes 95 were unopened at the end of surgery. No patients had their peri-operative management changed because of the investigations performed. An adequate pre-operative assessment with a history and examination is sufficient in most patients undergoing local anaesthetic ophthalmic surgery, avoiding unnecessary investigations.

References

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Oct 21, 1961·JAMA : the Journal of the American Medical Association·R D DRIPPSJ E ECKENHOFF

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Citations

Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Paul G SimsDavid W Todd
Mar 5, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·André JastrzebskiUNKNOWN Misericordia Health Centre Cataract Surgery Working Group
Jan 8, 2019·The Cochrane Database of Systematic Reviews·Lisa KeayOliver Schein
Mar 16, 2012·The Cochrane Database of Systematic Reviews·Lisa KeayOliver Schein
Apr 30, 2020·Journal of Cataract and Refractive Surgery·Elaine M TranPaul B Greenberg
Mar 20, 2013·Anesthesiology·Michael B PhillipsNancy N Diehl
Mar 10, 2018·Anaesthesia and Intensive Care·Awy ChuaPca Kam

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