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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2005, Number 5

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Rev Mex Oftalmol 2005; 79 (5)

Topic anesthesia without sedation in phacoemulsification: relating patients personality, satisfaction and cooperation during surgery.

Torres MAJ, Arroyo ML, Lozano AJ, Graue MM

Language: Spanish
References: 15
Page: 245-250
PDF size: 46.52 Kb.


ABSTRACT

Objective: To evaluate patients comfort and cooperation in phacoemulsification and its relation with their personality.
Methods: 16 eyes of 16 patients. We excluded patients with language problems, dementia, deafness, ocular pathology, surgeries converted to extra capsular technique and patients that don’t want this kind of anesthesia. We took the cardiac frequency, arterial tension, and made a psychological study and satisfaction and cooperation questions.
Results: 11 men (30.5%) and 25 women (69.5%) with mean age of 61.3 years. The cardiac frequency and arterial tension were going down during the surgery. The mean anxiety was 48.06. 94.4% had excellent cooperation. 2.7% had any sensation during surgery, 75% had sensation but without pain, and 22.3% had minimal pain. No patient needed sedation. 95.23% had excellent or good cooperation in patients with less anxiety compared with 93.3% in patients with more anxiety (p = 0.626). 76.19% had no pain in patients with less anxiety compared with 73.3% in patients with more anxiety (p =0.847). Arterial pressure and cardiac frequency got lower at the end of the surgery.
Conclusions: Most of the patients had excellent cooperation and no pain. Personality did not have influence in those variables. The patients got quieter during the development of the surgery.


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