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The control of intra‐ocular pressure during the induction of anaesthesia for emergency eye surgery. A high‐dose vecuronium technique
Author(s) -
Abbott M. A.,
Samuel J. R.
Publication year - 1987
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1987.tb05378.x
Subject(s) - medicine , anesthesia , rapid sequence induction , oxygen saturation , eye surgery , general anaesthesia , oxygenation , ophthalmic surgery , surgery , oxygen , intubation , chemistry , organic chemistry
Summary A technique of rapid sequence induction of anaesthesia for use in patients with penetrating eye injuries is described. This utilises a three maximal breaths method of pre‐oxygenation, the intravenous injection of thiopentone and high dose vecuronium (0.2 mg/kg). Using the loss of eyelash reflex as the starting point for timing, all patients were intubated after 60 seconds without coughing and bucking. No postintubation increases in intra‐ocular pressure were seen in 70% of patients and in no patient did the increase in intra‐ocular pressure exceed 5 mmHg. After 3 minutes of apnoea, the minimum haemoglobin oxygen saturation was 94% with a mean value of 97.6%.