Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?

Michael M Vigoda, Azeema Latiff, Timothy G Murray, Jacqueline L Tutiven, Audina M Berrocal, Steven GayerBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: To document that with proper patient and procedure selection, children undergoing general inhalat...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Vigoda M, Latiff A, Murray T, Tutiven J, Berrocal A, Gayer S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0b84448d8095494f97c973a6d4d3629a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:0b84448d8095494f97c973a6d4d3629a
record_format	dspace
spelling	oai:doaj.org-article:0b84448d8095494f97c973a6d4d3629a2021-12-02T00:54:55ZCan children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?1177-54671177-5483https://doaj.org/article/0b84448d8095494f97c973a6d4d3629a2011-04-01T00:00:00Zhttp://www.dovepress.com/can-children-undergoing-ophthalmologic-examinations-under-anesthesia-b-a7177https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Michael M Vigoda, Azeema Latiff, Timothy G Murray, Jacqueline L Tutiven, Audina M Berrocal, Steven GayerBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: To document that with proper patient and procedure selection, children undergoing general inhalational anesthesia for ophthalmologic exams (with or without photos, ultrasound, laser treatment, peri-ocular injection of chemotherapy, suture removal, and/or replacement of ocular prosthesis) can be safely anesthetized without the use of an intravenous (IV) line. Children are rarely anesthetized without IV access placement. We performed a retrospective study to determine our incidence of IV access placement during examinations under anesthesia (EUA) and the incidence of adverse events that required intraoperative IV access placement.Methods: Data collected from our operating room (OR) information system includes but is not limited to diagnosis, anesthesiologist, surgeon, and location of IV catheter (if applicable), patient&rsquo;s date of birth, actual procedure, and anesthesia/procedure times. We reviewed the OR and anesthetic records of children (&gt;1 month and &lt;10 years) who underwent EUAs between January 1, 2003 and May 31, 2009. We determined the percentage of children who were anesthetized without IV access placement, as well as the incidence of any adverse events that required IV access placement, intraoperatively.Results: We analyzed data from 3196 procedures performed during a 77-month period. Patients&rsquo; ages ranged from 1 month to 9 years. Overall, 92% of procedures were performed without IV access placement. Procedure duration ranged from 1&ndash;39 minutes. Reasons for IV access placement included parental preference for antinausea medication and/or attending preference for IV access placement. No child who underwent anesthesia without an IV line had an intraoperative adverse event requiring insertion of an IV line.Conclusion: Our data suggest that for children undergoing general anesthesia for ophthalmologic exams (with or without photos, ultrasound, laser treatment, intraocular injection of chemotherapy, suture removal, and/or replacement of ocular prosthesis), anesthesia can be safely conducted without placement of an IV line.Keywords: IV access placement, anesthesia, chemotherapy, general anesthesia, children Vigoda MLatiff AMurray TTutiven JBerrocal AGayer SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 503-508 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Vigoda M Latiff A Murray T Tutiven J Berrocal A Gayer S Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?
description	Michael M Vigoda, Azeema Latiff, Timothy G Murray, Jacqueline L Tutiven, Audina M Berrocal, Steven GayerBascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USAPurpose: To document that with proper patient and procedure selection, children undergoing general inhalational anesthesia for ophthalmologic exams (with or without photos, ultrasound, laser treatment, peri-ocular injection of chemotherapy, suture removal, and/or replacement of ocular prosthesis) can be safely anesthetized without the use of an intravenous (IV) line. Children are rarely anesthetized without IV access placement. We performed a retrospective study to determine our incidence of IV access placement during examinations under anesthesia (EUA) and the incidence of adverse events that required intraoperative IV access placement.Methods: Data collected from our operating room (OR) information system includes but is not limited to diagnosis, anesthesiologist, surgeon, and location of IV catheter (if applicable), patient&rsquo;s date of birth, actual procedure, and anesthesia/procedure times. We reviewed the OR and anesthetic records of children (&gt;1 month and &lt;10 years) who underwent EUAs between January 1, 2003 and May 31, 2009. We determined the percentage of children who were anesthetized without IV access placement, as well as the incidence of any adverse events that required IV access placement, intraoperatively.Results: We analyzed data from 3196 procedures performed during a 77-month period. Patients&rsquo; ages ranged from 1 month to 9 years. Overall, 92% of procedures were performed without IV access placement. Procedure duration ranged from 1&ndash;39 minutes. Reasons for IV access placement included parental preference for antinausea medication and/or attending preference for IV access placement. No child who underwent anesthesia without an IV line had an intraoperative adverse event requiring insertion of an IV line.Conclusion: Our data suggest that for children undergoing general anesthesia for ophthalmologic exams (with or without photos, ultrasound, laser treatment, intraocular injection of chemotherapy, suture removal, and/or replacement of ocular prosthesis), anesthesia can be safely conducted without placement of an IV line.Keywords: IV access placement, anesthesia, chemotherapy, general anesthesia, children
format	article
author	Vigoda M Latiff A Murray T Tutiven J Berrocal A Gayer S
author_facet	Vigoda M Latiff A Murray T Tutiven J Berrocal A Gayer S
author_sort	Vigoda M
title	Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?
title_short	Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?
title_full	Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?
title_fullStr	Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?
title_full_unstemmed	Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?
title_sort	can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an iv line?
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/0b84448d8095494f97c973a6d4d3629a
work_keys_str_mv	AT vigodam canchildrenundergoingophthalmologicexaminationsunderanesthesiabesafelyanesthetizedwithoutusinganivline AT latiffa canchildrenundergoingophthalmologicexaminationsunderanesthesiabesafelyanesthetizedwithoutusinganivline AT murrayt canchildrenundergoingophthalmologicexaminationsunderanesthesiabesafelyanesthetizedwithoutusinganivline AT tutivenj canchildrenundergoingophthalmologicexaminationsunderanesthesiabesafelyanesthetizedwithoutusinganivline AT berrocala canchildrenundergoingophthalmologicexaminationsunderanesthesiabesafelyanesthetizedwithoutusinganivline AT gayers canchildrenundergoingophthalmologicexaminationsunderanesthesiabesafelyanesthetizedwithoutusinganivline
_version_	1718403358512906240

Can children undergoing ophthalmologic examinations under anesthesia be safely anesthetized without using an IV line?

Ejemplares similares