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麻醉下检查:最佳实践。

Examination under anesthesia: Preferred Practice.

作者信息

Dhillon Hennaav Kaur, Agarkar Sumita, Vijaya Lingam, Bhende Muna, Baskaran Mani, Jaichandran V V

机构信息

Department of Pediatric Ophthalmology and Strabismus, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.

Smt Jadhavbai Nathmal Singhvee Glaucoma Services, Medical Research Foundation, Sankara Nethralaya, Chennai, Tamil Nadu, India.

出版信息

Indian J Ophthalmol. 2023 Nov;71(11):3438-3445. doi: 10.4103/IJO.IJO_3259_22.

DOI:10.4103/IJO.IJO_3259_22
PMID:37870002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10752321/
Abstract

Pediatric ocular examinations are often a challenge in the outpatient setting due to limited cooperation of the child. Hence an evaluation under anesthesia (EUA) or sedation is important for a holistic ophthalmic examination. It can be combined with short procedures, such as suture removal and corneal scrappings, both for diagnosis and for the management of several ophthalmic disorders. It can also be performed before planning a surgical intervention to record the baseline characters and formulate or refine a surgical plan. Every EUA must be used as a chance to perform a complete ophthalmic examination rather than perform a single task such as recording the intraocular pressure. This article aims to provide a protocol that can be followed for a complete EUA.

摘要

由于儿童配合有限,儿科眼科检查在门诊环境中常常是一项挑战。因此,麻醉下评估(EUA)或镇静对于全面的眼科检查很重要。它可以与诸如拆线和角膜刮片等简短操作相结合,用于诊断和管理多种眼科疾病。在规划手术干预之前也可以进行,以记录基线特征并制定或完善手术计划。每次EUA都必须被用作进行全面眼科检查的机会,而不是执行诸如测量眼压这样的单一任务。本文旨在提供一个可遵循的完整EUA方案。

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Acta Ophthalmol. 2022 Sep;100(6):605-613. doi: 10.1111/aos.15082. Epub 2021 Dec 22.
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Anaesthetic protocol for paediatric glaucoma examinations: the prospective EyeBIS Study protocol.小儿青光眼检查的麻醉方案:前瞻性 EyeBIS 研究方案。
BMJ Open. 2021 Oct 5;11(10):e045906. doi: 10.1136/bmjopen-2020-045906.
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Cobalt blue light unit filter - A smartphone attachment for blue light photography.
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Ophthalmology examinations under anaesthesia carried out on non-ophthalmology lists in a specialist children's hospital.在一家专业儿童医院的非眼科手术清单上进行的麻醉下眼科检查。
Eye (Lond). 2022 Mar;36(3):669-670. doi: 10.1038/s41433-021-01478-1. Epub 2021 Mar 5.
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Paediatric chemical burns: a clinical review.小儿化学烧伤:临床综述。
Eur J Pediatr. 2021 May;180(5):1359-1369. doi: 10.1007/s00431-020-03905-z. Epub 2021 Jan 6.
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