Gerber Daniel, Eberle Balthasar, Erdoes Gabor
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
SAGE Open Med Case Rep. 2021 May 20;9:2050313X211015885. doi: 10.1177/2050313X211015885. eCollection 2021.
Perioperative visual loss is a rare but severe complication after surgery in prone position. One of several mechanisms is direct ophthalmic compression. This can be avoided through optimal positioning and padding of the head, but position and integrity of the eyes need to be checked at regular intervals. We describe the use of a conventional video laryngoscope during vascular surgery in prone position as a simple solution for intermittent monitoring of external integrity of the eyes and size of the pupils. This requires no additional material and allows documentation of the findings. Our method might reduce complications and improve patient outcome.
围手术期视力丧失是俯卧位手术后一种罕见但严重的并发症。多种机制之一是直接压迫眼球。这可通过头部的最佳体位摆放和衬垫来避免，但需要定期检查眼睛的位置和完整性。我们描述了在俯卧位血管手术期间使用传统视频喉镜作为一种简单的方法，用于间歇性监测眼睛外部完整性和瞳孔大小。这无需额外材料，并能记录检查结果。我们的方法可能会减少并发症并改善患者预后。
