Normocapnic anaesthesia with trichloroethylene for intraocular surgery
- 1 June 1979
- journal article
- Published by Wiley in Anaesthesia
- Vol. 34 (6), 526-533
- https://doi.org/10.1111/j.1365-2044.1979.tb06336.x
Abstract
Measurements of intraocular pressure (IOP) by applanation tonometry in twelve patients undergoing lens extraction showed that a normocapnic anaesthetic technique using 0.4% trichloroethylene with controlled ventilation of the lungs (IPPV) with large tidal volumes (14 ml/kg) reduced IOP by 13--20%. There was only a small reduction in arterial pressure. Normocapnia was easy to achieve by use of the single-limb co-axial Penlon (Bain type) anaesthetic breathing circuit in conjunction with an electrically-driven, small and inexpensive lung ventilator. The anaesthetic technique described using trichloroethylene is suitable for lens extraction surgery when it is desired to avoid a halothane anaesthetic for any reason.Keywords
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