Pinho Daniela Filipa Rodrigues, Real Cátia, Ferreira Leónia, Pina Pedro
Centro Hospitalar do Porto, Terapia Intensiva e Medicina de Emergência, Departamento de Anestesiologia, Porto, Portugal.
Centro Hospitalar do Porto, Terapia Intensiva e Medicina de Emergência, Departamento de Anestesiologia, Porto, Portugal.
Braz J Anesthesiol. 2018 Sep-Oct;68(5):431-436. doi: 10.1016/j.bjan.2018.01.004. Epub 2018 Mar 12.
Currently there is no agreement regarding which one is the most adequate anesthetic technique for the treatment of retinopathy of prematurity. Peribulbar block may reduce the incidence of oculocardiac reflex and postoperative apnea. The goal of this study was to report the outcomes of peribulbar block, when combined with general anesthesia, for the laser treatment for retinopathy of prematurity, in premature babies.
A retrospective analysis of anesthetic records of all babies who underwent laser treatment for retinopathy of prematurity from January 2008 through December 2015 in a tertiary hospital was performed.
During that period a total of six babies was submitted to laser treatment for retinopathy of prematurity, all under peribulbar block combined with general anesthesia. A single infratemporal injection of 0.15 mL.kg per eye ropivacaine 1% or 0.75% was performed. At the end of the procedure, all babies resumed spontaneous ventilation. No perioperative complications were reported.
Peribulbar block was a safe anesthetic technique in our sample considered.
目前对于治疗早产儿视网膜病变哪种麻醉技术最为合适尚无定论。球周阻滞可能会降低眼心反射和术后呼吸暂停的发生率。本研究的目的是报告球周阻滞联合全身麻醉用于早产儿视网膜病变激光治疗的结果。
对2008年1月至2015年12月在一家三级医院接受早产儿视网膜病变激光治疗的所有婴儿的麻醉记录进行回顾性分析。
在此期间，共有6例婴儿接受了早产儿视网膜病变的激光治疗，均在球周阻滞联合全身麻醉下进行。每只眼颞下注射0.15 mL·kg的1%或0.75%罗哌卡因。手术结束时，所有婴儿均恢复自主通气。未报告围手术期并发症。
在所研究的样本中，球周阻滞是一种安全的麻醉技术。
