Experience in anesthetic support of ophthalmic surgical interventions conducted in ‘Primorskiy Centre of Eye Microsurgery, LLC

Abstract

Objective. The study objective is a clinical analysis of the effectiveness of anxiolysis in ophthalmic surgery. Methods. A retrospective analysis of 9949 anesthetic tools for ophthalmic interventions on the basis of PTSG in 2014-2016. Anxiolysis and controlled anesthesia were carried out in 9319 cases, 415 combined anesthesia using the laryngeal mask, 205 anesthetics with endotracheal intubation, and in 10 anaesthesia with facial masks. Results. Psychomotor agitation was most often observed in the group of patients who received a combination of 'fenozepam plus fentanyl' (3.4 %) during the operation, arterial hypotension during the intervention, as well as in the early and late postoperative periods, was more often diagnosed in the same patients (2 %) , Subjective negative feelings were registered among individuals who received combinations of 'droperidol plus fentanyl' (7.1 %) and 'fenozepam plus fentanyl' (4.7 %), cardiac rhythm disturbances prevailed in the group 'droperidol plus fentanyl' (0.6 %). Conclusions. The analysis of practical work made it necessary to abandon the use of combinations of 'phenazepam plus fentanyl' and 'droperidol plus fentanyl' due to the high frequency of adverse reactions occurring during and after the operation. Among the benzodiazepines, midazolam was preferred, as this drug has a quick onset of action, is more 'manageable', and demonstrates a good anxiolytic effect with fewer adverse reactions and, what is very important, stabilizes the hemodynamics.