Anesthesia Management During Cataract Surgery. Volume 2: Evidence Tables and Bibliography. Evidence Report/Technology Assessment Number 16.

摘要

Surgery for age-related cataract is the highest volume surgical procedure in the Medicare population. In the United State, approximately 1.5 million cataract operations were performed on Medicare beneficiaries in 1996. Cataract surgery is almost exclusively performed as an outpatient procedure and usually involves the administration of a local anesthetic in addition to systemic sedation administered by an anesthesiologist or nurse anesthetist. There is considerable national and international variation in anesthesia management strategies for cataract surgery. The principal objectives of this Evidence Report are to summarize the published literature on (1) the risks and benefits associated with the use of one form of regional anesthesia over another and (2) the risks and benefits associated with different approaches to sedating the patient for cataract surgery. The primary sources for the literature review were PubMed and the Cochrane Collaboration's database of controlled clinical trials. Medical subject heading (MeSH) terms used in the searches included cataract, anesthesia, and hypnotics or sedatives. All included studies were published between 1968 and 1999.