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Randomized Controlled Trial Clinical Trial
[Assessment of anesthesia methods in ophthalmologic surgery by patients, surgeons, and anesthesiologists].
- C Weilbach, D Scheinichen, K Raymondos, B Jüttner, S Schlosshardt, and S Piepenbrock.
- Anästhesieabteilung, St. Josefs-Hospital, Cloppenburg. c.weilbach@kh-clp.de
- Ophthalmologe. 2005 Aug 1;102(8):783-6.
BackgroundThe purpose of this study was to evaluate anesthesia methods in ophthalmic surgery in elderly people assessed by patients, surgeon, and anesthesiologist using subjective rating scales.Patients And MethodsIn a prospective, randomized study we compared in 52 (26 vs 26) elderly patients (ASA II and III, mean age 78.7+/-8.6 years) undergoing a cataract operation the satisfaction perceived by patients, surgeons, and anesthesiologists in relation to anesthesia methods [intravenous anesthesia (TIVA) vs balanced anesthesia (BA)] based on a score from 1=best to 6=worse.ResultsPatient satisfaction was better in the TIVA group (1.65) than in the patients treated with BA (2.57), p<0.001. Surgeons perceived no difference (BA 1.15/TIVA 1.07). Anesthesiologists preferred TIVA (TIVA 1.5/BA 3.23), p<0.001.ConclusionIn this study patients and anesthesiologists preferred TIVA. There was no difference between TIVA and BA as seen by the surgeon.
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