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Abstract #5914 Published in IGR 2-1
Analgo-sedation (managed anesthesia care, MAC) with propofol and piritramide for controlled cyclophotocoagulation of the eye
Koerner I; Scherhag A; Preussner PRAnaesthesiologie und Reanimation 2000; 25: 22-25
The new method of controlled cyclophotocoagulation of the eye is an example of a short, non-invasive procedure that is still too painful to be done under local anesthesia alone. The risks associated with general anesthesia, on the other hand, seem to be inappropriately high compared to the risks associated with the procedure itself. Therefore, for this procedure, the authors combined local anesthesia with 0.5% proxymetacain and 10% cocaine and sedation with propofol and analgesia with piritramide. Their experiences with this method have been positive. They have applied their method to 42 patients undergoing a total of 53 procedures and have seen no major changes in hemodynamics and only two cases of momentary slight ventilatory depression. Therefore, the authors conclude that their method of managed anesthesia care is suitable for patients undergoing cyclophotocoagulation of the eye, combining patient comfort with hemodynamic stability and minimal risk for the patient. LA: German
Dr. I. Koerner, Klinik für Anaesthesiologie des Klinikums der Johannes Gutenberg-Universität, Mainz, Germany
Classification:
12.17 Anesthesia (Part of: 12 Surgical treatment)