Optical coherence tomography under general anesthesia in a child with nystagmus

被引:22
作者
Patel, CK
Chen, SDM
Farmery, AD
机构
[1] Univ Oxford, Oxford Eye Hosp, Radcliffe Infirm, Oxford OX2 6HE, England
[2] Univ Oxford, Nuffield Dept Anaesthet, Radcliffe Infirm, Oxford OX2 6HE, England
关键词
D O I
10.1016/j.ajo.2003.11.064
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
PURPOSE: To describe a method that permits optical coherence tomography scanning to be performed under general anesthesia. DESIGN: Observational case report. METHODS: A 7-year old child underwent optical coherence tomography scanning under general anesthesia. He was positioned prone, with the neck extended to enable vertical facial alignment on the scanner. An anti-Trendelenburg trend on the operating table minimized the degree of neck extension required. Intravenous fluids, modest ventilator airway pressures, and compression stockings were used to minimize perioperative hemodynamic disturbance and the potential for orthostatic bypotension associated with the anti-Trendelenburg trend. RESULTS: High-quality, diagnostically important optical coherence tomography scans were obtained. CONCLUSION: With appropriate patient positioning and anesthetic management, optical coherence tomography scanning can be performed on uncooperative adults and children under general anesthesia. (C) 2004 by Elsevier Inc. All rights reserved.
引用
收藏
页码:1127 / 1129
页数:3
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