Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome

Inger Westborg,1,2 Eva Mönestam1 1Department of Clinical Sciences/Ophthalmology, Umeå University, Umeå, Sweden; 2Eye Clinic, Sunderby Hospital, Luleå, Sweden Purpose: To evaluate if the standard anesthetic regimen – topical combined with intracameral...

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Autores principales:	Westborg I, M&ouml;nestam E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5a4a5c75cce14a67be72c081b8202f4a
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spelling	oai:doaj.org-article:5a4a5c75cce14a67be72c081b8202f4a2021-12-02T02:57:40ZIntracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome1177-54671177-5483https://doaj.org/article/5a4a5c75cce14a67be72c081b8202f4a2013-10-01T00:00:00Zhttp://www.dovepress.com/intracameral-anesthesia-for-cataract-surgery-a-population-based-study--a14700https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Inger Westborg,1,2 Eva Mönestam1 1Department of Clinical Sciences/Ophthalmology, Umeå University, Umeå, Sweden; 2Eye Clinic, Sunderby Hospital, Luleå, Sweden Purpose: To evaluate if the standard anesthetic regimen – topical combined with intracameral anesthesia without sedation – in a population-based cohort of unselected cataract surgery cases is adequate, optimal, and good practice, or if improvements are necessary. Methods: We conducted a prospective, observational study on all cases of cataract surgery during a 1-year period at one institution (n=1249). Data were collected from the patients’ records. Outcome measures were use of preoperative sedation, type of anesthesia, complications, and adverse events. In a subgroup of patients (n=124) satisfaction with the anesthetic regimen was evaluated using a short questionnaire. Results: Most cases (90%, 1125/1249) had combined topical and intracameral anesthesia without sedation. Patients who chose preoperative sedation (midazolam hydrochloride sublingually) were significantly younger and more often female (P=0.0001 and P=0.011, respectively). In the questionnaire subgroup, the median pain score after surgery was 0.7 (visual analog scale, 0–10). A pain score of 1.9 or less was reported by 76% of the patients. Patients reporting a pain score of 2 or more had sedation and additional anesthetics more often. No significant difference was found regarding age, sex, pulse rate, oxygen saturation, first or second eye surgery, or adverse intraoperative events for patients with pain scores of 1.9 or less and 2 or more. Conclusion: This large population-based series of small-incision phacoemulsification surgery shows that combined topical and intracameral anesthesia without sedatives is well tolerated for most phacoemulsification patients. It is also effective in cases when complications or adverse events occur. It is important to be responsive to the individual patient’s needs and adjust operating procedures if necessary, as there were a few patients who experienced insufficient anesthesia. Keywords: anesthesia, local/methods, phacoemulsification, cataract extraction, humans, prospective observational studiesWestborg IM&ouml;nestam EDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 2063-2068 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Westborg I M&ouml;nestam E Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
description	Inger Westborg,1,2 Eva Mönestam1 1Department of Clinical Sciences/Ophthalmology, Umeå University, Umeå, Sweden; 2Eye Clinic, Sunderby Hospital, Luleå, Sweden Purpose: To evaluate if the standard anesthetic regimen – topical combined with intracameral anesthesia without sedation – in a population-based cohort of unselected cataract surgery cases is adequate, optimal, and good practice, or if improvements are necessary. Methods: We conducted a prospective, observational study on all cases of cataract surgery during a 1-year period at one institution (n=1249). Data were collected from the patients’ records. Outcome measures were use of preoperative sedation, type of anesthesia, complications, and adverse events. In a subgroup of patients (n=124) satisfaction with the anesthetic regimen was evaluated using a short questionnaire. Results: Most cases (90%, 1125/1249) had combined topical and intracameral anesthesia without sedation. Patients who chose preoperative sedation (midazolam hydrochloride sublingually) were significantly younger and more often female (P=0.0001 and P=0.011, respectively). In the questionnaire subgroup, the median pain score after surgery was 0.7 (visual analog scale, 0–10). A pain score of 1.9 or less was reported by 76% of the patients. Patients reporting a pain score of 2 or more had sedation and additional anesthetics more often. No significant difference was found regarding age, sex, pulse rate, oxygen saturation, first or second eye surgery, or adverse intraoperative events for patients with pain scores of 1.9 or less and 2 or more. Conclusion: This large population-based series of small-incision phacoemulsification surgery shows that combined topical and intracameral anesthesia without sedatives is well tolerated for most phacoemulsification patients. It is also effective in cases when complications or adverse events occur. It is important to be responsive to the individual patient’s needs and adjust operating procedures if necessary, as there were a few patients who experienced insufficient anesthesia. Keywords: anesthesia, local/methods, phacoemulsification, cataract extraction, humans, prospective observational studies
format	article
author	Westborg I M&ouml;nestam E
author_facet	Westborg I M&ouml;nestam E
author_sort	Westborg I
title	Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
title_short	Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
title_full	Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
title_fullStr	Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
title_full_unstemmed	Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
title_sort	intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/5a4a5c75cce14a67be72c081b8202f4a
work_keys_str_mv	AT westborgi intracameralanesthesiaforcataractsurgeryapopulationbasedstudyonpatientsatisfactionandoutcome AT mampoumlnestame intracameralanesthesiaforcataractsurgeryapopulationbasedstudyonpatientsatisfactionandoutcome
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Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome

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