Journal of ophthalmic nursing & technology
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J Ophthalmic Nurs Technol · May 1995
Anesthetic considerations for pediatric ophthalmologic surgery.
1. Although many adult ocular procedures may be done equally well under local or general anesthesia, with children, the anesthesiologist almost always has to administer general anesthesia to guarantee satisfactory surgical conditions. 2. ⋯ In general, anesthetic induction is accomplished in an age-appropriate fashion. 3. Basic discharge criteria include the following: Vital signs should be stable and normal; there should be no signs of respiratory distress; mental status should be age-appropriate and back to baseline; the patient should demonstrate the ability to either swallow fluids, cough, or have an intact gag reflex; the patient should be able to ambulate, if age-appropriate and baseline; and the patient always must have a responsible, well-informed escort home.
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1. Less experienced surgeons and assistants exhibit more stress during microsurgery. 2. This stress cannot be reduced easily, but can be overcome with experience. 3. Experienced surgeons should be aware of this stress when they train inexperienced surgeons and assistants.
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J Ophthalmic Nurs Technol · Sep 1994
Biography Historical ArticleEye disease among the impressionists: Monet, Cassatt, Degas, and Pissarro.
1. Many of the most famous artists working in France late in the 19th century suffered serious eye diseases. 2. The case reports of Monet, Cassatt, Degas, and Pissarro are interesting because of the light they shed on important artists and their methods of dealing with adversity. 3. These case reports also can be useful in consoling patients who have similar problems today.
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1. Direct carotid-cavernous sinus fistulas usually result from multi-trauma or head injuries. These patients are more likely to be seen at trauma based hospitals. 2. ⋯ The ultimate diagnostic test for direct carotid-cavernous sinus fistulas is cerebral arteriography of both the internal and external carotid arteries. 4. The optimal treatment of a direct carotid-cavernous sinus fistula is closure of the abnormal arteriovenous communication with preservation of internal carotid artery patency. Detachable, flow-guided balloons are presently used to close most direct carotid-cavernous sinus fistulas.