Kern R
Klin Monbl Augenheilkd. 1977 Feb;170(2):332-6.
General anesthesia in eye surgery necessitates additional investments in equipment, instruments, rooms and employees. It therefore increases the cost of operation. An anaesthesist, not familiar with the specialties of ophthalmic surgery, is a real risk. The advantages of general anesthesia outweigh by far the disadvantages: optimal observation survey and, if necessary supplementary care of the intubationned patient is guaranteed. The surgical treatment can be performed on the completely immobilized patient without any hurry, eventually additionally in controlled hypotension. Special emphasis has to be put on the postoperative care, especially on an immediate, rigorous mobilization of the patient. Under these conditions, the three-years-statistic clearly demonstrates, that the postoperative complications are as rare as those after operations performed in local anesthesia.
眼科手术中的全身麻醉需要在设备、器械、手术室和人员方面进行额外投入。因此,这会增加手术成本。不熟悉眼科手术特点的麻醉医生会带来实际风险。全身麻醉的优点远远超过缺点:能保证对插管患者进行最佳观察和必要的辅助护理。手术治疗可以在完全固定不动的患者身上从容进行,必要时还可在控制性低血压状态下进行。必须特别强调术后护理,尤其是要让患者立即、严格地活动起来。在这些条件下,三年的统计数据清楚地表明,术后并发症与局部麻醉下手术的并发症一样罕见。