TY - JOUR T1 - Katarakt cerrahisinde sedasyonun yeri TT - The role of sedation on cataract surgery AU - Önder, Halil İbrahim AU - Tekelioğlu, Ümit Yaşar AU - Demirhan, Abdullah AU - Erdurmuş, Mesut PY - 2013 DA - September DO - 10.5505/abantmedj.2013.25744 JF - Abant Medical Journal JO - Abant Med J PB - Bolu Abant Izzet Baysal University WT - DergiPark SN - 1305-4392 SP - 274 EP - 280 VL - 2 IS - 3 LA - tr AB - Saydam kornea kesisinden yapılan fakoemülsifikasyon katarakt cerrahisi genellikle yeterli ve etkin oküler anestezi sağlamaktadır. Ancak aşırı endişeli, kaygılı ve kooperasyonu güç olan olgularda intraoperatif problemlerle karşılaşma hiç de azımsanmayacak kadar çoktur. Bu olgularda uygulanan oral veya intravenöz sedasyon, bu problemleri büyük oranda ortadan kaldırmaktadır. Bu derlemenin amacı, saydam kornea kesisinden yapılan fakoemülsifikasyon katarakt cerrahisinde sedasyonun rolü ve olası sedasyon alternatiflerinin değerlendirilmesidir. KW - katarakt cerrahisi KW - sedasyon N2 - Saydam kornea kesisinden yapılan fakoemülsifikasyon katarakt cerrahisi genellikle yeterli ve etkin oküler anestezi sağlamaktadır. Ancak aşırı endişeli, kaygılı ve kooperasyonu güç olan olgularda intraoperatif problemlerle karşılaşma hiç de azımsanmayacak kadar çoktur. Bu olgularda uygulanan oral veya intravenöz sedasyon, bu problemleri büyük oranda ortadan kaldırmaktadır. Bu derlemenin amacı, saydam kornea kesisinden yapılan fakoemülsifikasyon katarakt cerrahisinde sedasyonun rolü ve olası sedasyon alternatiflerinin değerlendirilmesidir. CR - Virkilla¨ MEJ, Ali-Melkkila¨ TM, Kanto JH. Pre- medication for outpatient cataract surgery: a com- parative study of intramuscular alfentanil, midazo- lam and placebo. Acta Anaesthiol Scand 1992;36:559– 63. CR - Wong DH, Merrik PM. Intravenous sedation prior to peribulbar anaesthesia for cataract surgery in elderly patients. Can J Anaesth 1996;43:1115– 20. CR - Saunders DC, Sturgess DA, Pemberton CJ, et al. Peribulbar and retrobulbar anesthesia with prilo- caine: a comparison of two methods of local anes- thesia. Ophthalmic Surg 1993;24:842– 5. CR - Sanchez-Capuchino A, Meadows D, Morgan L. Local anesthesia for eye surgery without facial nerve block. Anaesthesia 1993;48:428– 31. CR - Yee JB, Burns TA, Mann JM, et al. Propofol and alfentanil for sedation during placement of retrobulbar block for cataract surgery. J Clin Anesth 1996;8:623–6. CR - Herrick IA, Gelb AW, Nichols B, et al. Patientcon- trolled propofol sedation for elderly patients: safety and patient attitude toward control. Can J Anaesth 1996;43:1014– 8. CR - Khalil SN, Howard G, Mankarious R, et al. Alfen- tanil decreases the excitatory phenomena of sodi- um methohexital. J Clin Anesth 1998;10:469–73. CR - Gilbert J, Holt JE, Johnson J, et al. Intravenous sedation for cataract surgery. Anaesthesia 1987;42: 1063– 9. CR - Katz J, Feldman MA, Bass EB, et al. Adverse in- traoperative medical events and their association with anesthesia management strategies in cataract surgery. Ophthalmology 2001;108:1721– 6. CR - American Society of Anesthesiologists. ASA physical status classification system. Available at: http://www.asahq.org/clinical/physicalstatus.html. Accessed March 21, 2006. CR - JACHO. Revisions to anesthesia care standards. Comprehensive Accreditation Manual for Ambula- tory Care. Effective January 1, 2001. Available at: http://www.jcaho/standards/anesamb.html. cessed December 31, 2005. CR - ASA Committee on Quality Management and Departmental Administration (approved by the House of Delegates, Oct 1999, p. 479). Directory of Members. Dallas, 2000. CR - Northgave SA, Rasmusson DD. The immediate effects of peripheral deafferentation on neurons of the cuneate nucleus in raccoons. Somatosens Mot Res 1996;13:103–13. CR - Ramsay MA, Savage TM, Simpson BR, et al. Controlled sedation with alphaxalone-alphadolone. BMJ 1974;2:656 –9. CR - Chernik DA, Gillings D, Laine H, et al. Validity and reliability of the Observer’s Assessment of Awareness/Sedation Scale: study with intravenous midazolam. J Clin Psychopharmacol 1990;10:244– 51. CR - Chernik DA, Tucker M, Gigli B, et al. Validity and reliability of the Neurobehavioral Assessment Scale. J Clin Psychopharmacol 1992;12:43– 8. CR - Macnab AJ, Levine M, Glick N, et al. A research tool for measurement of recovery from sedation: the Vancouver Sedative Recovery Scale. J Pediatr Surg 1991;26:1263–7. CR - Malviya S, Vopel-Lewis T, Tait AR, et al. Depth of sedation in children undergoing computer tomog- raphy: validity and reliability of the University of Michigan Sedation Scale (UMSS). Br J Anaesth 2002; 88:241–5. Ac UR - https://doi.org/10.5505/abantmedj.2013.25744 L1 - https://dergipark.org.tr/en/download/article-file/1211045 ER -