J Korean Ophthalmol Soc.  2005 May;46(5):787-792.

Topical Anesthesia Combined with Patient-Controlled Sedation Analgesia (PCSA) for Posterior Vitrectomy

• Moon JW
• Lim YJ
• Chung H
• Yu HG

Abstract

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.

Keyword

Patient-controlled sedation analgesia; Posterior vitrectomy; Topical anesthesia

MeSH Terms

Analgesia*
Anesthesia*
Hemodynamics
Humans
Respiratory Insufficiency
Seoul
Sex Ratio
Vitrectomy*