USMF logo

Institutional Repository in Medical Sciences
of Nicolae Testemitanu State University of Medicine and Pharmacy
of the Republic of Moldova
(IRMS – Nicolae Testemitanu SUMPh)

Biblioteca Stiintifica Medicala
DSpace

University homepage  |  Library homepage

 
 
Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/24108
Full metadata record
DC FieldValueLanguage
dc.contributor.authorKraleva, Y.-
dc.contributor.authorKirilova, Y.-
dc.contributor.authorVassileva, P.-
dc.date.accessioned2023-04-12T07:10:36Z-
dc.date.available2023-04-12T07:10:36Z-
dc.date.issued2021-
dc.identifier.citationKRALEVA, Y., KIRILOVA, Y., VASSILEVA, P. Premedication and sedation during ophthalmic surgery. In: 19th Black Sea Ophthalmological Society Congress, September 24-26, 2021, Chisinau, Republic of Moldova: abstract book, p. 64.en_US
dc.identifier.urihttps://aom.md/wp-content/uploads/2021/10/ABSTRACT-BOOK_web.pdf-
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/24108-
dc.description.abstractIntroduction: The anesthesiologist in ophthalmic surgery has a number of tasks: a) safely eliminate tension and anxiety in polymorbid aged patients; b) to provide comfort on the operating table of those suffering from chronic osteoarthritis pain; c) to enable the surgeon to operate on a cooperating patient with no sudden fluctuations in consciousness. Purpose: to assess the level of satisfaction of patients and surgeons with the applied premedication and sedation. Method: Preoperative and intraoperative levels of anxiety were assessed through a survey conducted in two stages: during pre-anesthesia consultation and postoperatively. NIBP and HR values were registered on admission and immediately preoperatively. Patients with known anxiety disorder were excluded from the study. Among 746 patients admitted for operation, 13% (n-103) reported moderate and high levels of anxiety. Mildly anxious patients 32%(n-244) received premedication with Hydroxyzine hydrochloride (Atarax®) 25 mg po. Patients with severe chronic pain syndrome of osteoarthritis origin were premedicated with Tramadol hydrochloride / Paracetamol (Paratramol®) 37.5 mg / 325 mg - 75 mg / 650 mg po - depending on the patient's weight and pain intensity. Sedation with combination of Midazolam and Fentanyl were used in patients with moderate to high level of anxiety, or in cases of prolonged and traumatic surgery. Midazolam administration begins 30-60 minutes preoperatively. The drug is titrated at 0.25 - 0.5 mg iv every 15-20 minutes. After positioning on the operating table and monitoring, patients are treated with Fentanyl 10-25mg iv, and sedation is maintained by mentioned intermittent doses of Midazolam. Information was collected on the surgeons' satisfaction with the patient's level of cooperation and theirs immobility during the operation. Result: A state of tranquillity and relaxation was achieved without suppressing breathing and consciousness. Patients reported reduced level of anxiety and ability to go calmly through the retrobulbar block, the preparation of the operative field and the operation itself. Surgeons’ satisfaction of scored very high. Conclusion: intentional screening for patients with preoperative anxiety and the application of early-onset low-dose sedation can meet the needs of the patient and the surgeon and also be safe.en_US
dc.language.isoenen_US
dc.publisherBlack Sea Ophthalmological Society, Ophthalmological Association from Moldova, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldovaen_US
dc.relation.ispartof19th Black Sea Ophthalmological Society Congress, September 24-26, 2021 Chisinau, Republic of Moldovaen_US
dc.titlePremedication and sedation during ophthalmic surgeryen_US
dc.typeOtheren_US
Appears in Collections:19th Black Sea Ophthalmological Society Congress, September 24-26, 2021 Chisinau, Republic of Moldova

Files in This Item:
File Description SizeFormat 
Premedication_and_sedation_during_ophthalmic_surgery.pdf169.77 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2013  Duraspace - Feedback