Tag: anesthesia

Sunconjynctival anesthesia for MSICS?

Colleagues from India published recently a RCT, which evaluated subconjunctival anesthesia for manual small incision cataract surgery.

Not surprisingly, it does not provide akinesia. However, its anesthesia is sufficient for more or less comfortable surgery. It’s only obstacle is a chemisis, which is especially disturbing for novice surgeons.

What is it like, when you have to do an urgent corneal trauma case in Africa?

In EnglishIt’s like, when you really, really struggling to bring everyone together (yourself, the scrub nurse and the anesthetist), they will tell you, that the child has drunk some water, and the case shall be postponed for a couple hours. And then it’s like when you are thinking you are about to go and do it, they will tell you, that now the anesthetist is busy with Ceasarian sections.

“C” – Compromised.

Waiting for them to be ready, there is a case with corneal laceration, lens rupture and hyphema in a child… Trauma happened in the morning, and now it is 20:20. High chances for the child to be operated in the morning. Usual practice, when African Time does not respect any reason.