From the Department of Ophthalmology, University Hospitals and School of Medicine, Geneva, Switzerland.
Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York.
Anesth Analg. 2018 Apr;126(4):1206-1211. doi: 10.1213/ANE.0000000000002319.
Collaboration of the surgical and anesthesia teams for patient positioning is essential to assure patient comfort and safety, preventing systemic and ophthalmic complications. The goals and rationales of positioning for intraocular surgery are discussed including placing the head above the heart, elevating the chin, using a head rest that is sufficiently firm, maximizing anesthesia care team access and minimizing fire risk, and taping the patient's head to the operating table to reduce unexpected movement with intraocular injury.
手术团队和麻醉团队的协作对于确保患者的舒适和安全至关重要，可预防全身和眼部并发症。本文讨论了眼科手术中患者体位摆放的目标和原理，包括将头置于心脏上方、抬高下巴、使用足够坚固的头架、最大限度地为麻醉护理团队提供便利并降低火灾风险，以及用胶带将患者的头部固定在手术台上，以减少眼内损伤时的意外移动。
