Mills M D
Department of Ophthalmology, University of Wisconsin Medical School, Madison 53705-3611, USA.
J Perianesth Nurs. 1998 Feb;13(1):16-23; quiz 23-5. doi: 10.1016/s1089-9472(98)80076-2.
Strabismus procedures on children and adults are frequently performed in an outpatient setting. Perianesthesia care of patients having strabismus procedures may be optimized by recognizing the characteristics of strabismus patients, the frequently associated diagnoses that may affect perioperative care, and the specific surgical techniques used to treat strabismus. Complications including postoperative nausea, pain, prolonged PACU stay, and unplanned postoperative admissions can be minimized and treatment facilitated by preparing patients with preoperative instructions, careful choice of anesthetic agents and postoperative medications, and appropriate perioperative care. This report will provide a brief review of surgical strabismus, including current techniques, and present guidelines for perioperative care of pediatric and adult strabismus patients.
儿童和成人的斜视手术通常在门诊进行。通过了解斜视患者的特点、可能影响围手术期护理的常见相关诊断以及用于治疗斜视的具体手术技术，可以优化接受斜视手术患者的围麻醉期护理。通过术前指导让患者做好准备、谨慎选择麻醉药物和术后用药以及提供适当的围手术期护理，可以将包括术后恶心、疼痛、在麻醉后护理单元停留时间延长和意外术后入院等并发症降至最低，并便于治疗。本报告将简要回顾斜视手术，包括当前技术，并提出儿童和成人斜视患者围手术期护理指南。
