Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave, New Orleans, LA, 70112, USA.
LSU Health Sciences Center New Orleans, 1901 Perdido Street, New Orleans, LA, 70112, USA.
Curr Pain Headache Rep. 2019 May 30;23(7):48. doi: 10.1007/s11916-019-0784-y.
Total patient care is of extreme importance during the administration of anesthesia. Proper care of the eye is necessary during all anesthetic administrations, especially during the administration of general anesthesia or monitored anesthesia care. By paying attention to details, the likelihood of an occurrence of eye injuries is reduced.
Though perioperative eye injuries are rare during general anesthesia, they do account for 2-3% of claims against anesthesiologists. Ocular injuries may occur during general anesthesia even when tape has been utilized for eye closure. Corneal abrasions are the most common injuries that have been attributed to direct trauma to the eye, exposure keratopathy, or chemical injury. Using a hydrogel patch during general anesthesia is also associated with more frequent corneal injury than previously thought. Prevention of anesthesia-related eye injuries assumes a high priority since the eye is one of the major sense organs of the body. The eye can be damaged during anesthesia for both non-ophthalmic and ophthalmic surgeries.
在麻醉管理过程中，患者的全面护理至关重要。在所有麻醉管理中，特别是在全身麻醉或监测麻醉护理期间，有必要对眼睛进行适当的护理。通过关注细节，可以降低眼部损伤的发生几率。
尽管全身麻醉期间围手术期眼部损伤较为罕见，但在针对麻醉师的诉讼中，占比仍达到 2%-3%。即使使用胶带闭合眼睛，在全身麻醉期间仍可能发生眼部损伤。角膜擦伤是最常见的损伤，归因于对眼睛的直接创伤、暴露性角膜炎或化学性损伤。与之前的认知相比，在全身麻醉期间使用水凝胶贴片也与更频繁的角膜损伤相关。由于眼睛是身体的主要感觉器官之一，因此预防与麻醉相关的眼部损伤至关重要。眼部可在非眼科和眼科手术的麻醉过程中受损。
