유리체 절제술에서 점안 마취와 자가조절정맥마취의 병합효과

• 영문명: Topical Anesthesia Combined with Patient-Controlled Sedation Analgesia (PCSA) for Posterior Vitrectomy
• 발행기관: 대한안과학회
• 저자명: 문준웅 임영진 정흠 유형곤,Jun-Woong Moon, M.D.,, Young-Jin Lim, M.D., Chung Hum, M.D.,, Hyung-Gon Yu, M.D.,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number5, 787~792쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2005.05.31

영문 초록

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.

키워드

Patient-controlled sedation analgesia, Posterior vitrectomy, Topical anesthesia