Summary
Neuroleptanalgesia, using droperidol and fentanyl, as an adjunct to local anaesthesia, was assessed in 100 adult patients undergoing intraocular surgery. The method described offered the following advantages. (1) A satisfactory state of preoperative, operative, and postoperative sedation of the patient was obtained. (2) Local anaesthesia was performed in a relatively painless environment. (3) Monitoring of patient’s vital signs to detect and treat any respiratory or circulatory depression was provided. (4) The patient and surgeon were reassured that an anaesthetist was looking after the patient. (5) The surgeon was able to devote his full attention to the operation. (6) Complications and morbidity were low.
Résumé
La neuroleptanalgésie, utilisant le dropéridol et le fentanyl comme compléments à l’anesthésie locale, a été étudiée chez 100 malades adultes soumis à la chirurgie intra-oculaire. La technique décrite présentait les avantages suivants: (1) On a obtenu une sédation pré, per et post-opératoire satisfaisante. (2) L’anesthésie locale s’est faite de façon relativement indolore. (3) On était pourvu de tous les appareils à enregistrer les signes vitaux afin de diagnostiquer et de traiter toute dépression respiratoire ou circulatoire. (4) Le malade et le chirurgien étaient rassurés par la présence d’un anesthésiste qui surveillait l’opéré. (5) Le chirurgien pouvait accorder toute son attention à l’opération. (6) Les complications et les effets secondaires ont été rares.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Schlossman, A. Combined Anaesthesia in Intraocular Surgery: E.E.N.T. Monthly.41: 396 (1962).
Ingram, H. V. &Armstrong-Davidson, M. H. Intraocular Surgery with Local Analgesia and Heavy Sedation. Lancet.1: 1321 (1961).
Decastro, J. &Mundeleer, P. Anaesthesia sans barbiturique: la neuroleptanalgesia. Anesth. et anaig.16: 1022 (1959).
Nilsson, E.: Experience with Neuroleptanalgesia. Anaesthetist.11: 17 (1962).
Corssen, G.;Domino, E. F.; &Sweet, R. B. Neuroleptanalgesia and Anaesthesia: Pharmacologic and Clinical Considerations. Anesth. & Analg.43: 744 (1964).
Aubry, U.;Denis, R.;Keéri-Szànto, M.; &Parent, M. Factors Affecting Survival of the Geriatric Patient after Major Surgery. Canad. Anaesth. Soc. J.12: 510 (1965).
Tait, E. C. &Tornetta, F. J. Neuroleptanalgesia as Adjunct to Local Anaesthesia in Intraocular Surgery: A Preliminary Report. Am. J. Ophthal.59: 412 (1965).
Wine, N. A. Sedation with Neuroleptanalgesia in Cataract Surgery. Am. J. Ophthal.61: 456 (1966).
Cameron, F. M. Neuroleptanalgesia for Cataract Surgery. Correspondence, Brit. J. Anaesth.39: 605 (1967).
Jones, W. M.; Samis, W.; Macdonald, D’Arcy; & Boyes, H. W. Anaesthesia for Intraocular Surgery, Can. J. Ophth. In press.
Krantz, J. C. &Carr, C. J. Pharmacologic Principles of Medical Practice. Baltimore: Williams and Wilkins (1965).
Ferrari, H. A. &Stephen, C. R. Neuroleptanalgesia, Pharmacology and Clinical Experiences with Droperidol-Fentanyl. South. M. J.59: 815 (1966).
Author information
Authors and Affiliations
Additional information
Address requests for reprints to Dr. W. M. Jones, Department of Anaesthesia, Toronto Western Hospital, 399 Bathurst Street, Toronto 2B, Ontario.
Rights and permissions
About this article
Cite this article
Jones, W.M., Samis, W., Macdonald, D. et al. Neuroleptanalgesia for intraocular surgery. Can. Anaes. Soc. J. 15, 491–497 (1968). https://doi.org/10.1007/BF03003734
Issue Date:
DOI: https://doi.org/10.1007/BF03003734