DETERMINATION OF THE OPTIMAL SCHEME OF ANESTHESIA IN PATIENTS WITH OPHTHALMIC SURGERY IN CORNEAL TRANSPLANTATION
DOI:
https://doi.org/10.31379/2411.2616.17.1.6Keywords:
block of pterygopalatine fossa, dexmedetomidine, multimodal anaesthesia, postoperative painAbstract
The aim of the study was to evaluate the efficacy and safety of modified anesthesia regimens in patients with corneal transplantation, supplemented by pterygopalatine blockade and / or dexmedetomidine. Materials and methods: The study included 91 patients who underwent keratoplasty. Patients were divided into 3 groups depending on the applied anesthesia scheme. Results: all three schemes allow to maintain the main parameters of hemodynamics and depth of sedation within the reference values. Each of the proposed schemes has shown its effectiveness in controlling intraoperative pain. In the analysis of the severity of pain in the postoperative period and the number of episodes of nausea and vomiting, the best results were obtained in patients who underwent blockade of the pterygopalatine fossa and used dexmedetomidine (group DB).
References
Schargus, M., Schargus, V., Rath, S. Anästhesieformen in der Augenheilkunde [Forms of anesthesia in ophthalmology]. Ophthalmologe. – 2021. doi: 10.1007/s00347-021-01334-3.
TFOS DEWS II pain and sensation report. / C. Belmonte [et al.] // Ocul Surf. – 2017. – Vol. 15(3). – P. 404-437. doi: 10.1016/j.jtos.2017.05.002.
Opioids and ophthalmology: review of the current literature. / M.R. Starr [et al.] // Curr Opin Ophthalmol. – 2021. – Vol. 32(3). – P. 209-213. doi: 10.1097/ICU.0000000000000753.
Patients’ perception of the open-space operating hall for cataract surgery. / M. Enjary [et al.] // J. Fr. Ophtalmol. – 2021. – Vol. 44(4). – P. 494-498. doi: 10.1016/j.jfo.2020.06.043.
Ledowski, T. Objective monitoring of nociception: a review of current commercial solutions. Br J Anaesth. – 2019. – Vol. 123(2). – P. 312-321. doi: 10.1016/j.bja.2019.03.024.
Characterization of self-anticipated pain score prior to elective surgery – a prospective observational study. / W.S. Chang [et al.] // BMC Anesthesiol. – 2021. – Vol. 21(1). – P. 85. doi: 10.1186/s12871-021-01303-y.
Elsaid RM, Namrouti AS, Samara AM, Sadaqa W, Zyoud SH. Assessment of pain and postoperative nausea and vomiting and their association in the early postoperative period: an observational study from Palestine. / R.M. Elsaid [et al.] // BMC Surg. – 2021. – Vol. 21(1). – P. 177. doi: 10.1186/s12893-021-01172-9.
