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Ophthalmological disorders after spinal anesthesia

Author(s)
Dmytro A. Kholod Department of Anesthesiology and Intensive Care, Poltava State Medical University, Poltava, Ukraine.
Dmytro A. Shkurupii Chairman of Separate Division of the Association of Anesthesiologists of Ukraine in the Poltava Region, Poltava. Ukraine.
Abstract
Spinal anesthesia (SA) administered for non-ophthalmic operative surgeries has been associated with ophthalmological disorders in up to 0.2% cases. However, the incidence of medical lawsuits related to these issues amounts to 2-3%, which suggests a probable higher frequency of such violations. This study was conducted to find the nature of ophthalmological disorders during SA and risk factors for their development during non-ophthalmic surgical interventions. Methodology: A prospective cohort non-intervention study was carried out in 150 adult patients undergone nonophthalmic surgical interventions under SA for analysis of state of the visual organs during SA. Results: Ophthalmological disorders after SA were recorded in 6.7% of the patients. These disorders were of a transient nature and were no threat to the development of life-threatening dysfunctions or persistent disablement. They were directly related to the level of systemic arterial pressure. A correlation analysis demonstrated the presence of relation between the reduction in ophthalmotonus and perfusion pressure of the eyes and the administration of 0.5% bupivacaine (R = 0.7, p = 0.01). Conclusion: The results of our study prove that the individuals with prior visual organ disorders are expected to have a relatively high incidence of ophthalmological complications after spinal anesthesia, requiring the individualization of anesthesia regimes.
Publication Details
Page(s) 703-706
Published Journal: Anaesthesia, Pain and Intensive Care, Volume: 25, Issue: 6, Year: 2021

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Keywords
Complications, Anesthesia, Spinal, Visual organs
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