Moyao-García D, Maldonado-Sánchez KA, Díaz-Sánchez M

Idioma: Español
Referencias bibliográficas: 27
Paginas: 271-282
Archivo PDF: 257.62 Kb.

RESUMEN

La mayor parte de las cirugías y procedimientos oftálmicos en niños que requieren de manejo anestésico se presentan en pacientes sanos. Aunque sólo una pequeña proporción de los pacientes con oftalmopatías tienen enfermedades asociadas, éstas deben buscarse intencionalmente, ya que pueden repercutir de manera importante en el manejo anestésico. La visita preanestésica es fundamental para evaluar las necesidades individuales de cada paciente y su posible repercusión en la morbilidad perioperatoria. Es importante conocer las complicaciones más frecuentes en el trans- y postoperatorio de las cirugías oftálmicas para implementar medidas profilácticas. A diferencia del adulto, en el manejo anestésico del paciente pediátrico para cirugía oftálmica, la anestesia general ocupa un lugar preponderante. Si bien los niños con oftalmopatías en general no son candidatos para el empleo de una técnica regional sola o con sedación, su empleo en combinación con la anestesia general ha mostrado beneficios.

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