Before eye surgery is necessary to conduct a survey of the state of the cardiovascular system, the respiratory tract, the gastrointestinal tract of the patient;conduct laboratory testing of blood, urine, feces;measure blood pressure, etc.It is extremely important to identify the disease, which can cause postoperative purulent infection (such as purulent otitis, tonsillitis, furunculosis, pustular skin diseases, etc.).In this pathology, as well as a number of diseases of the cardiovascular system, blood, lungs, and other diabetes, delaying operation until recovery of the patient or a corresponding improvement.The exception is emergency surgery for penetrating eye injury, acute glaucoma, corneal ulcers creeping, when the eyes of the state does not allow to postpone the operation.In order to prevent in this case you should use antibiotics and sulfonamides, and also to show the general therapeutic agents.
Contraindications to surgery on the eyeball are: purulent inflammation of the lacrimal sac, barley, acu
If a patient scheduled for surgery dissection of the eyeball, in the preoperative period with the aim of conjunctival disinfection should be 4-5 times a day instilled into the eyes of antibiotics solution.The day before the operation the patient put an enema, he takes a bath.On the day of surgery the eyelid skin, forehead, cheeks, ear to the middle of the nose, moistened with a 1% alcoholic solution of brilliant green, eye monocular impose a sterile bandage.
Before the operation, the patient is administered in the preoperative, where he must remove his clothes and put on special linen stockings.Nurse dressing the patient lays a piece of cotton in the ear on the side of the operated eye, so it does not numb the blood, and three digs in the eye of 0.25% solution of tetracaine (2% lidocaine).Then the patient is introduced to the operating room and placed on an operating table, covered with a sheet, the skin of eyelids and face smeared thickly with a 1% alcoholic solution of brilliant green, and her face, head and chest is closed with sterile cloth with a hole for the eyes.Next, make the local anesthetic procaine (subconjunctival, subcutaneous, intramuscular, retrobulbar).
In adults, surgery under general anesthesia is carried out in exceptional cases, the children resort to intramuscular or intravenous anesthesia;in recent years it is widely used local and nazo- otofaringealny or anesthesia, and sometimes intratracheal that conduct by the rules of general surgical anesthesiologists.
Task nurse in preparing the patient for surgery is reduced to the exact fulfillment of the doctor appointments.Nursing staff monitors the correct and timely referral of patients to the operating room (according to the list), for the right patient laying on the table and his status for subsequent transportation to the ward, lying down on the stretcher or on foot.
postoperative patient care is of great importance for a favorable outcome of the operation.Sister accompanies the patient to the bed and lays him.In accordance with the doctor's appointment later sister monitors the position of the patient in bed, his diet, departures of the intestine, drug intake, eyedrops, participates in dressings.
On the first day after the operation of opening the eyeball patient receives only a small amount of liquid food as chewing movements disturb the eye.Food intake in large amounts before and especially after surgery may cause vomiting, threatening surgical wound opening.
after surgery for retinal detachment, intraocular foreign body removal and corneal transplant patient has for a long time lying on his back, so he had to make a comfortable bed.Special care to avoid dehiscence surgical wound complications, and other required when dressings and instillation of the drops.
Young children in the first days after the operation it is necessary to fix the hand well, using a soft, durable bandages, as well as to ensure the immobility of the head, applying for this different fixing devices.