[Regional anesthesia for ambulatory surgery in ophthalmology]

ABSTRACT

We report a survey of 1075 patients who underwent surgery in the operating room of Ophthalmology, which is to assess the quality of ambulatory anesthesia practice in our structure, and its evidenced by the anesthesia safety and satisfaction of the patient. Prospective study spread over six months to August 2009 to January 2010, surgery activity is distributed mainly on the five business days of the week. The duration of the interventions is less than an hour for most acts. One form of exploitation has been established to collect these data. The results are expressed as number, average, extreme and percentage. The average age was 57 years, including 180% cases pediatriques. 70% were classified as high risk. The regional anesthesia performed on an outpatient basis has involved 846 patients, or 3/4 of the activity of the block. Surgery for cataract accounted for 96% of ambulatory anesthesia, followed by the schedules and the anterior segment. Intraoperative complications were represented by bradycardia 70%, bronchospasm 90%, intraorbital hematoma 9% postoperative nausea and vomiting 1%, two cases of enophthalmos, and one case of delayed awakening. It is an attractive alternative to general anesthesia. Much of the ophthalmic surgery is performed on an outpatient basis, with obvious benefits in terms of economics and patient satisfaction. However, the constraints associated with this practice should not be forgotten, the need for coordination and organization seems even more necessary than elsewhere. The organization of staff training and patient information is a prerequisite for its realization