Tighe R, Burgess P I, Msukwa G
CURE International Hospital.
Malawi Med J. 2012 Dec;24(4):89-94.
Performing safe and effective regional anaesthesia for ophthalmic surgery is an important skill for anaesthetic and ophthalmologic practitioners. Akinetic sharp-needle blocks are generally safe but rare, sight and life threatening complications occur. Sub-Tenon's block using a blunt canula provides akinesa and is a safer alternative but serious complications have been reported. This review provides an introduction to the relevant anatomy, local anaesthetic drugs and commonly used techniques and a practical guide to their safe performance.
为眼科手术实施安全有效的区域麻醉是麻醉医生和眼科医生的一项重要技能。无动眼尖锐针阻滞通常是安全的，但会发生罕见的、威胁视力和生命的并发症。使用钝头套管的球后阻滞可实现眼球运动停止，是一种更安全的替代方法，但也有严重并发症的报道。本综述介绍了相关解剖结构、局部麻醉药物和常用技术，并为其安全实施提供了实用指南。
