Department of Ophthalmology, Centre Hospitalier Universitaire Régional de Bretonneau, Bretonneau University Hospital of Tours, 2 Boulevard Tonnellé, 37000, Tours, France.
Department of Ophthalmology, Centre Hospitalier Jacques Coeur, Bourges, France.
Sci Rep. 2021 Apr 15;11(1):8311. doi: 10.1038/s41598-021-87926-0.
This study aims to evaluate the safety and patient satisfaction of a fast-track procedure for cataract surgery under topical anaesthesia without perioperative anaesthesia care. This is a prospective single-centre study including all cataract procedures in the Centre Ambulatoire de la Chirurgie de la Cataracte at the Hospital of Bourges between May and August 2018. Procedures were performed under topical anaesthesia without the presence of a nurse anaesthesiologist or anaesthesiologist, the patient had not fasted, and no peripheral venous line was placed. Only heart rate and oxygen saturation were monitored intraoperatively with pulse oximetry. Incidence and nature of intraoperative adverse events and surgical complications were recorded. Patient satisfaction was assessed using the Iowa Satisfaction with Anaesthesia Scale (ISAS). In total, 651 cataract surgeries were performed among which 614 (94.3%) were uneventful. Thirty (4.6%) intraoperative adverse events and 8 (1.2%) surgical complications were recorded. All surgeries were successfully completed. No medical emergency team intervention or hospital admittance was encountered. The mean ISAS score was 5.7/6, indicating high patient satisfaction. Cataract surgery in an ambulatory cataract surgery centre without perioperative anaesthesia care is a safe procedure with high patient satisfaction for screened patients. Anaesthesia ressources are scarce and may be more beneficial to more complex ophthalmic or non-ophthalmic surgeries.
本研究旨在评估在局部麻醉下无围手术期麻醉护理的快速通道白内障手术的安全性和患者满意度。这是一项前瞻性单中心研究，纳入了 2018 年 5 月至 8 月布尔日医院白内障手术门诊中心的所有白内障手术。手术在局部麻醉下进行，无护士麻醉师或麻醉师在场，患者无需禁食，也未放置外周静脉导管。术中仅使用脉搏血氧仪监测心率和血氧饱和度。记录术中不良事件和手术并发症的发生率和性质。使用爱荷华州麻醉满意度量表（ISAS）评估患者满意度。共进行了 651 例白内障手术，其中 614 例（94.3%）无不良事件。记录了 30 例（4.6%）术中不良事件和 8 例（1.2%）手术并发症。所有手术均顺利完成。未发生医疗急救队干预或住院。ISAS 平均得分为 5.7/6，表明患者满意度高。在有筛选患者的门诊白内障手术中心，在无围手术期麻醉护理的情况下进行白内障手术是一种安全的手术，患者满意度高。麻醉资源稀缺，可能对更复杂的眼科或非眼科手术更有益。
