Friday, February 24, 2012

Eyeballs

I had a day of ophthalmology cases. For the anesthesiologist, this is not the most thrilling surgery to be assigned. Most eye cases are done awake under monitored anesthesia care with a nerve block by the surgeons. Patients are usually older and have many comorbidities so the risk of general anesthesia isn't negligible. We have to walk that tight line between not enough sedation and having the patient move with sharp objects near the eye and too much sedation and having the patient stop breathing. The block itself has rare risks and working on the eye has its own unique physiology. But all in all it was a calm day without unexpected hiccups so the attendings gave me more independence.

Image of cataract surgery is in the public domain, from Wikipedia.

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