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Correspondence  |   April 2008
Quotation from Article about Anesthesia Providers’ Activities during Ophthalmology Cases
Author Notes
  • The University of Iowa, Iowa City, Iowa.
Article Information
Correspondence
Correspondence   |   April 2008
Quotation from Article about Anesthesia Providers’ Activities during Ophthalmology Cases
Anesthesiology 4 2008, Vol.108, 762. doi:10.1097/ALN.0b013e3181672658
Anesthesiology 4 2008, Vol.108, 762. doi:10.1097/ALN.0b013e3181672658
To the Editor:—
I thoroughly enjoyed the review by Vann et al.  1 of anesthesia for ophthalmology. However, I was surprised by their quotation from Pecka and Dexter.2 : “These authors commented that there is ‘no  justification to decreasing the amount of time that anesthesiologist or nurse anesthetists spend caring for patients undergoing cataract extraction with a retrobulbar block’” (italics added).
The full paragraph is as follows:
In conclusion, [in 1995] at our tertiary medical center, anesthesia providers [did] interventions after placement of the retrobulbar block for 33% of cases (upper bound < 36%). Therefore, a retrospective study cannot determine whether, to decrease costs, a registered nurse could safely replace the anesthesia provider after uneventful placement of a retrobulbar block. A prospective study assessing patient outcome related to these interventions is required for a more meaningful assessment of present standards for monitored anesthesia care for cataract extractions … There is currently  no justification to decreasing the amount of time that anesthesiologists or certified registered nurse anesthetists spend caring for patients undergoing cataract extraction with a retrobulbar block.
The word currently  is important.
The University of Iowa, Iowa City, Iowa.
References
Vann MA, Ogunnaike BO, Joshi GP: Sedation and anesthesia care for ophthalmologic surgery during local/regional anesthesia. Anesthesiology 2007; 107:502–8Vann, MA Ogunnaike, BO Joshi, GP
Pecka SL, Dexter F: Anesthesia providers’ interventions during cataract extraction under monitored anesthesia care. AANA J 1997; 65:357–60Pecka, SL Dexter, F