Anesthetic management for the high-risk ophthalmic patient (original) (raw)
1992, Journal of Clinical Anesthesia
A 6%year-old white female presented for cornea1 transplant, but her numerous medica, problems placed her at unacceptably high risk for prolonged general anesthesia. Routine monitored anesthesia care measures would not have provided her or the surgeon the comfort and repose necessary ,for a successful outcome. We describe anesthetic management for ophthalmic surgery, using epidural anesthesia in conjunction with retrobulbar block, in an elderly patient at high risk for general anesthesia whose intractable back and leg pain would have otherwise precluded her cooperation in maintaining a motionless operative field.
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