Schönfeld C-L, Reith M
Augenklinik Herzog Carl Theodor, Nymphenburger Str. 43, 80335, München, Deutschland.
Ophthalmologe. 2013 Feb;110(2):175-8. doi: 10.1007/s00347-012-2739-0.
There are several methods for local and general anesthesia in ophthalmological surgery that attempt to provide a stress and pain-free operating environment for both patient and surgeon. The decision-making depends on medical as well as on ophthalmological criteria and jointly falls to ophthalmologists and anesthesiologists. Topical and injective anesthesia (with or without conscious sedation) are generally methods of choice but general anesthesia can be preferable or mandatory in patients with particular internal diseases, children, emergencies and for extended surgical procedures. Pre-emptive analgesia before the operation is a meaningful complement in ophthalmological anesthesia.
眼科手术中有多种局部和全身麻醉方法,旨在为患者和外科医生提供一个无压力、无痛的手术环境。决策取决于医学标准以及眼科标准,这需要眼科医生和麻醉医生共同做出。局部麻醉和注射麻醉(有无清醒镇静)通常是首选方法,但对于患有特定内科疾病的患者、儿童、急诊情况以及长时间手术,全身麻醉可能更可取或必不可少。术前预先镇痛是眼科麻醉中一种有意义的补充。