Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-848d4c4894-pftt2 Total loading time: 0 Render date: 2024-05-21T16:11:42.128Z Has data issue: false hasContentIssue false

Chapter 22 - Anesthesia for Ocular, Ear, and Throat Diseases

Published online by Cambridge University Press:  24 May 2023

By
Sheriza L. Hussain  and
Graham T. Lubinsky
Edited by
Alan David Kaye  and
Richard D. Urman
Alan David Kaye
Affiliation:
Louisiana State University School of Medicine
Richard D. Urman
Affiliation:
Brigham and Women’s Hospital, Boston
Get access

Summary

Normal intraocular pressure (IOP) ranges between 10 and 22 mmHg. This pressure represents a balance between aqueous humor production and drainage [1]. An increase in IOP is harmful because it can decrease blood supply to the optic nerve [2]. Special care must be taken if the globe is open during surgery, as increased IOP in a patient with an open globe can lead to expulsion of ocular contents and permanent damage or blindness [2]. Surgeries in which there is an open globe include cataract extraction, corneal laceration repair, corneal transplant, trabeculectomy, vitrectomy, and ruptured globe repair. Other complications of increased IOP include acute glaucoma and retinal hemorrhage [1].

Type
Chapter
Information
Cambridge Handbook of Anesthesiology , pp. 354 - 368
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Pardo, MC, Miller, RD. Basics of Anesthesia, 7th ed. Philadelphia, PA: Saunders/Elsevier; 2017.Google Scholar
Miller, RD. Miller’s Anesthesia, 8th ed. Philadelphia, PA: Elsevier/Saunders; 2015.Google ScholarPubMed
Drayna, PC, Estrada, C, Wang, W, et al. Ketamine sedation is not associated with clinically meaningful elevation of intraocular pressure. Am J Emerg Med. 2012;30:1215–18.CrossRefGoogle Scholar
Jaffe, RA. Anesthesiologist’s Manual of Surgical Procedures, 6th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2019.Google Scholar
Butterworth IV, JF, Mackey, DC, Wasnick., JD. Morgan & Mikhail’s Clinical Anesthesiology, 6th ed. New York, NY: McGraw-Hill; 2018.Google Scholar
Hagber, CA, Artime, CA, Aziz, MF. Benumof and Hagberg’s Airway Management. Philadelphia, PA: Elsevier; 2018.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×