Journal of the Korean Ophthalmological Society 2005;46(5):787-792.
Published online May 31, 2005.
Topical Anesthesia Combined with Patient-Controlled Sedation Analgesia (PCSA) for Posterior Vitrectomy.
Jun Woong Moon, Young Jin Lim, Hum Chung, Hyung Gon Yu
1Department of Ophthalmology, Seoul National University College of Medicine, 1 Seoul, Korea. hgonyu@snu.ac.kr
2Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea.
3Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
유리체 절제술에서 점안 마취와 자가조절정맥마취의 병합효과
문준웅1,2,임영진3,정흠1,2,유형곤1,2
Department of Ophthalmology, Seoul National University College of Medicine,1 Seoul, Korea, Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute2, Seoul, Korea, Department of Anesthesiology, Seoul National University College of Medicine,3 Seoul, Korea
Correspondence:  Jun-Woong Moon, M.D.1,2
Abstract
PURPOSE
To investigate the effects of topical anesthesia combined with patient-controlled sedation analgesia for posterior vitrectomy. METHODS: All patients requiring vitrectomy from December 2003 to January 2004 at Seoul National University Hospital underwent surgery with topical anesthesia combined with patient-controlled sedation analgesia. The levels of intraoperative pain and sedation were recorded. The associations of operation time, combined vitreoretinal procedures, and age with intraoperative pain were investigated. Hemodynamic instability and respiratory depression were checked throughout the operation. RESULTS: Forty-three patients (53 eyes) underwent vitrectomy under topical anesthesia combined with patient-controlled sedation analgesia. The mean age was 51.75 +/- 13.68 years and the sex ratio was 25: 28 (male: female). The mean of VAS (visual analogue scale) was 53.61 (5 ~ 67). The level of intraoperative sedation was grade 1 (64%) or 2 (36%). No anesthesia-associated complications were found. CONCLUSIONS: In spite of relatively high VAS, there were no remarkable difficulties in performing posterior vitrectomy and appropriate levels of intraoperative sedation and cooperation were available without anesthesia-associated complications.
Key Words: Patient-controlled sedation analgesia;Posterior vitrectomy;Topical anesthesia
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