Jayamanne D G, Gillie R F
Department of Ophthalmology, Newcastle General Hospital, Newcastle upon Tyne, UK.
Eye (Lond). 1996;10 ( Pt 1):130-2. doi: 10.1038/eye.1996.23.
Life-threatening systemic complications during ophthalmic surgery under local anaesthesia are rare. However, respiratory and cardiovascular complications can cause significant morbidity and mortality. In this study continuous peri-operative oxygen saturation and cardiac monitoring provided the surgeon with early warning of life-threatening complications, resulting in rapid intervention and full recovery of the patients. Pre-operative venous cannulation aided rapid treatment. Due to ease of handling and interpretation, the equipment can be used effectively for peri-operative monitoring without any specialist training. All patients should be carefully monitored during local anaesthesia with pulse oximetry and cardiac monitors.
局部麻醉下眼科手术期间危及生命的全身并发症很少见。然而,呼吸和心血管并发症可导致显著的发病率和死亡率。在本研究中,围手术期持续的血氧饱和度和心脏监测为外科医生提供了危及生命并发症的早期预警,从而实现了快速干预和患者的完全康复。术前静脉置管有助于快速治疗。由于易于操作和解读,该设备无需任何专业培训即可有效地用于围手术期监测。所有患者在局部麻醉期间均应使用脉搏血氧仪和心脏监测仪进行仔细监测。