Local anesthesia and anxiolytic techniques for oculoplastic surgery

• Main Authors: Ing EB, Philteos J, Sholohov G, Ta Kim D, Nijhawan N, Mark PW, Gilbert J
• Format: Article
• Language: English
• Published: Dove Medical Press 2019-01-01
• Series: Clinical Ophthalmology
• Subjects: Local anesthesia; Anxiolytics; Oculoplastics; Eyelid; Orbit; Lacrimal Temporal artery biopsy
• Online Access: https://www.dovepress.com/local-anesthesia-and-anxiolytic-techniques-for-oculoplastic-surgery-peer-reviewed-article-OPTH
• ISSN: 1177-5483

Edsel B Ing,1 Justine Philteos,2 Galina Sholohov,3 David Ta Kim,1 Navdeep Nijhawan,1 Patrick W Mark,4 Jaclyn Gilbert4 1Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada; 2School of Medicine, University of Toronto, Toronto, ON, Canada; 3Barzilai Medical Center, Ashkelon, Israel; 4Department of Anesthesia, Michael Garron Hospital, University of Toronto, Toronto, ON Canada Abstract: This study discusses local anesthetic agents, administration techniques, ancillary considerations, and safety precautions for oculoplastic surgery including eyelid, lacrimal, orbital, and temporal artery biopsy procedures. Methods for reducing patient apprehension and discomfort including systemic premedication, topical pre-anesthetic, visual, auditory and tactile distraction techniques, regional blocks, small gauge needles, warmed lidocaine, and buffered lidocaine are discussed. Keywords: local anesthesia, anxiolytics, oculoplastics, eyelid, orbit, lacrimal, temporal artery biopsy