Blocks/concepts for Ophthalmic surgery: education, cerebral monitoring, sedation and regional anaesthesia

Time: 7pm CET | Duration: 60mn

Learning objectives
After viewing this webinar participant should be able to:

• Understand anaesthesia-relevant anatomy of the eye
• Discuss safe application of eye blocks through use of ultrasound respecting ultrasound safety measures while scanning eyes
• Realize that retrobulbar block’s indication is rarely given, meaning that in widespread European practice patients are too often subjected to the method’s significant risks
• Discuss risks of ophthalmic regional anaesthesia to eye and brainstem and be knowledgeable about pathophysiological complications being brought about via: (1) perforation of the sclera, (2) intraocular bleeding, (3) intraorbital bleeding, (4) alterations of intraocular pressure and complications stemming from critical perfusion or pressure changes in different compartments of the eye (anterior chamber, trabecular system, retina etc)
• Choose the right block for each patient, special procedure and pre-existing eye pathology
• Take home an idea of how learning, teaching and implementing safe blocks at their own institution could be achieved
• Discuss safe and practical ways of combining sedation and general anaesthesia with regional ophthalmic anaesthesia
• Understand the opioid sparing potential of safe ophthalmic regional anaesthesia during and after surgery
• Realize the special role of preoperative anxiety in ophthalmologic surgery and its role for postoperative pain and chronification of eye pain
• Review anaesthesiologists tendency to over-sedate ophthalmic surgery patients for fear of patients moving, coughing, straining
• Understand specific problems of “open-sky-situations” in eye surgery

Target Audience

• Anaesthesia nurses
• Anaesthesia residents
• Anaesthesia specialists

Keywords

• Ophthalmic anaesthesia
• Peribulbar block
• Retrobulbar block
• Sub-Tenon’s block
• Eye surgery
• Multimodal anaesthesia

The replay will be available on the ESRA Academy for members only.
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Registration is free and available to everyone.
This session was held on 29 December 2022.

After the live session, ESRA members can watch the replay on the ESRA Academy at any time.
Not a member yet?
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ESRA is strongly committed to pursue its aims in stimulating research, promoting education, and training anaesthetists in Regional Anaesthesia, Pain Therapy, PoCUS and Peri-operative care, in Europe and abroad. Due to travelling restrictions and obligation to follow social distancing, we decided to develop and implement ESRA webinars.

ESRA webinars is a new feature of ESRA to overcome these restrictions and deliver optimal and updated information on those specific topics.

ESRA webinars happen every last Thursday of the month at 7pm CET. These live sessions last 60 minutes and are accredited with 1 CME point.

Registration is free and the video recordings are available on ESRA Academy.

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