| 통원 수술로 백내장 수술을 받는 환자군의 특성과 주술기 관리 |
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황상원, 정승현, 김경옥 |
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Departments of 1Ophthalmology, 2Anesthesiology and Pain Medicine, Dongguk University College of Medicine, Goyang, Korea |
| Characteristics and Perioperative Management of Patients Having Ambulatory Cataract Surgery with Monitored Anesthetic Care |
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Sang Won Hwang, Seung Hyun Chung, Kyoung Ok Kim |
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| Abstract |
Purpose
There is an increase in number of geriatric patients who have cataract surgery in ambulatory facility. Giving the geriatric population with its associated medical problems, perioperative complications may arise. This study was undertaken to understand patients' characteristics and perioperative management of patients having ambulatory cataract surgery. Methods: A prospective study included 337 patients (196 female and 141 male patients) undergoing routine cataract surgery under monitored anesthetic care. A detailed questionnaire was completed by the anesthesia personnel. Results: The mean age of patients was 67.3 years old (range 20 to 91 years). Overall 217 patients (64%) had known medical conditions. Of those patients with medical conditions, 180 patients had hypertension, and 106 patients had diabetes mellitus. The fasting blood glucose level was 80 mg/dl or lower in two diabetic patients. Among patients with hypertension, five patients received antihypertensive medication during operation by anesthesiologist. Conclusions: Although significant medical conditions exist in patients having cataract surgery under monitored anesthetic care in ambulatory facility, most patients appear suitable for day case surgery provided they are well informed and carefully managed. (Korean J Optom Vis Sci 2007;6(1):24-28) |
| Key Words:
Ambulatory surgery, Cataract, Geriatric population |
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