Michał Jan Stasiowski, Aleksandra Pluta, Anita Lyssek-Boroń, Ewa Niewiadomska, Lech Krawczyk, Dariusz Dobrowolski, Beniamin Oskar Grabarek, Magdalena Kawka, Robert Rejdak, Izabela Szumera, Anna Missir, Przemysław Hołyś, Przemysław Jałowiecki
Vitreoretinal surgery (VRS) is one of the most widely performed precise procedures in ophthalmic surgery; the majority of cases are carried out under regional anaesthesia (RA) only. However, in specific situations (such as when the patient fails to cooperate with the operator for various reasons), general anaesthesia (GA), alone or in combination with GA (combined general-regional anaesthesia, CGR), is the only safe way to perform VRS. While monitoring the efficacy of an intraoperative rescue opioid analgesia (IROA) during surgery (assessing the adequacy of anaesthesia (AoA)) may be challenging, the surgical pleth index (SPI) is a useful tool for detecting the reaction to noxious stimuli and allows for the rational titration of opioid analgesics (AO) during surgery...
February 11, 2023: Life