June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
Current Anesthetic Practices Among Oculoplastic Surgeons
Author Affiliations & Notes
  • Anna Berry
    Ophthalmology, University of Kansas Medical Center, Prairie Village, KS
  • Jason Sokol
    Ophthalmology, University of Kansas Medical Center, Prairie Village, KS
  • Peter Timoney
    Ophthalmology, University of Kentucky, Lexington, KY
  • Footnotes
    Commercial Relationships Anna Berry, None; Jason Sokol, None; Peter Timoney, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 4733. doi:
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      Anna Berry, Jason Sokol, Peter Timoney; Current Anesthetic Practices Among Oculoplastic Surgeons. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):4733.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract
 
Purpose
 

To evaluate the practice of and influencing factors on the choice of anesthesia for various orbital surgeries by Oculoplastic surgeons.

 
Methods
 

An IRB exempt anonymous survey using REDCap electronic capture tools hosted at University of Kansas Medical Center was sent via email to the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASPORS) members. The survey contained two parts for each surgical procedure: anesthetic preference and primary influencing factor. Demographics including number of years in practice and practice type were also collected. Responses were analyzed using standard statistical methods.

 
Results
 

One hundred and eighteen ASOPRS members responded to the survey during a two-week period for a response rate of 23.6%. General anesthesia was the anesthetic method of choice for eight of the nine surgical procedures: enucleation (88.1%), evisceration (74.6%), external dacryocystorhinostomy (DCR) (54.2%), endoscopic DCR (55.1%), endoscopic brow lift (37.3%), external ethmoidectomy (49.2%), orbital floor decompression (95.8%), and lateral wall orbital decompression (94.1%). Monitored anesthesia care (MAC) was the anesthetic of choice for open brow lift (68.6%). “Current facility practices” was the primary factor for anesthetic choice with endoscopic DCR (30.0%), open brow lift (32.2%), and endoscopic brow lift (32.2%). “Fellowship training” was the primary choice with orbital floor decompression (45.8%) and lateral wall orbital decompression (44.9%). The category “other” was the primary factor for enucleation (50.9%), evisceration (50.9%), external DCR (42.4%) and external ethmoidectomy (20.3%). Patient comfort was the most frequent response for “other” for each surgical procedure.

 
Conclusions
 

General anesthesia is the most common anesthetic method used but the underlying reasoning for the choice varied by surgical procedure. The most agreement by ASOPRS members on anesthetic choice was found, in descending order, for orbital floor decompression, lateral wall orbital decompression, enucleation, and evisceration.  

 
Percentage of anesthetic choice per procedure.<br /> *Margin of Error
 
Percentage of anesthetic choice per procedure.<br /> *Margin of Error

 
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