Synthesis of the literature on the effectiveness of regional anesthesia for cataract surgery.
Synthesis of the literature on the effectiveness of regional anesthesia for cataract surgery.
复制标题
白内障手术区域麻醉有效性文献综述。
DOI：
10.1016/s0161-6420(00)00597-2
复制
发表时间：
2001
期刊：
影响因子：
13.7
通讯作者：
Schein,OD
中科院分区：
文献类型：
--
作者：
Friedman,DS;Bass,EB;Lubomski,LH;Fleisher,LA;Kempen,JH;Magaziner,J;Sprintz,M;Robinson,K;Schein,OD
CAPTIVETo synthesize the findings of the randomized trials of regional anesthesia management strategies for cataract surgery. AGGNLiterature review and analysis.METHODThe authors performed a systematic search of the literature to identify all articles relating to regional anesthesia during cataract surgery on adults.一名研究人员将每篇文章的内容摘录到一个定制的表格上。另一名调查员证实了调查结果。支持麻醉方法的证据被一致认为是好的、一般的、差的或不充分的。主要结果测量证据支持不同形式的区域麻醉的有效性。有很好的证据表明，球后和球周阻滞在白内障手术中提供等同的运动不能和疼痛控制。此外，眼球筋膜下阻滞至少与球后和球周阻滞一样有效。有很好的证据表明，在手术过程中，球后阻滞比表面麻醉提供更好的疼痛控制，并有公平的证据表明，球周阻滞比表面anesthes.CONCLUSIONSThis合成的文献表明，目前使用的麻醉管理方法提供了足够的疼痛控制成功的白内障手术，但有一些变化，最常用的技术的有效性。需要患者偏好的数据来确定白内障手术期间麻醉管理的最佳策略。
OBJECTIVETo synthesize the findings of the randomized trials of regional anesthesia management strategies for cataract surgery.DESIGNLiterature review and analysis.METHODThe authors performed a systematic search of the literature to identify all articles pertaining to regional anesthesia during cataract surgery on adults. One investigator abstracted the content of each article onto a custom-designed form. A second investigator corroborated the findings. The evidence supporting the anesthesia approaches was graded by consensus as good, fair, poor, or insufficient.MAIN OUTCOME MEASURESEvidence supporting the effectiveness of different forms of regional anesthesia.RESULTSThere was good evidence that retrobulbar and peribulbar blocks provide equivalent akinesia and pain control during cataract surgery. Additionally, sub-Tenon’s blocks were at least as effective as retrobulbar and peribulbar blocks. There was good evidence that retrobulbar block provides better pain control during surgery than topical anesthesia, and there was fair evidence that peribulbar block provides better pain control than topical anesthesia.CONCLUSIONSThis synthesis of the literature demonstrates that currently used approaches to anesthesia management provide adequate pain control for successful cataract surgery, but there is some variation in the effectiveness of the most commonly used techniques. Data are needed on patient preferences to determine the optimal strategies for anesthesia management during cataract surgery.