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Local anesthesia and anxiolytic techniques for oculoplastic surgery

Authors Ing EB, Philteos J, Sholohov G, Ta Kim D, Nijhawan N, Mark PW, Gilbert J

Received 26 September 2018

Accepted for publication 12 December 2018

Published 10 January 2019 Volume 2019:13 Pages 153—160

DOI https://doi.org/10.2147/OPTH.S188790

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Jie Zhang

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


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
 

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