- Home
- Medical news & Guidelines
- Anesthesiology
- Cardiology and CTVS
- Critical Care
- Dentistry
- Dermatology
- Diabetes and Endocrinology
- ENT
- Gastroenterology
- Medicine
- Nephrology
- Neurology
- Obstretics-Gynaecology
- Oncology
- Ophthalmology
- Orthopaedics
- Pediatrics-Neonatology
- Psychiatry
- Pulmonology
- Radiology
- Surgery
- Urology
- Laboratory Medicine
- Diet
- Nursing
- Paramedical
- Physiotherapy
- Health news
- Fact Check
- Bone Health Fact Check
- Brain Health Fact Check
- Cancer Related Fact Check
- Child Care Fact Check
- Dental and oral health fact check
- Diabetes and metabolic health fact check
- Diet and Nutrition Fact Check
- Eye and ENT Care Fact Check
- Fitness fact check
- Gut health fact check
- Heart health fact check
- Kidney health fact check
- Medical education fact check
- Men's health fact check
- Respiratory fact check
- Skin and hair care fact check
- Vaccine and Immunization fact check
- Women's health fact check
- AYUSH
- State News
- Andaman and Nicobar Islands
- Andhra Pradesh
- Arunachal Pradesh
- Assam
- Bihar
- Chandigarh
- Chattisgarh
- Dadra and Nagar Haveli
- Daman and Diu
- Delhi
- Goa
- Gujarat
- Haryana
- Himachal Pradesh
- Jammu & Kashmir
- Jharkhand
- Karnataka
- Kerala
- Ladakh
- Lakshadweep
- Madhya Pradesh
- Maharashtra
- Manipur
- Meghalaya
- Mizoram
- Nagaland
- Odisha
- Puducherry
- Punjab
- Rajasthan
- Sikkim
- Tamil Nadu
- Telangana
- Tripura
- Uttar Pradesh
- Uttrakhand
- West Bengal
- Medical Education
- Industry
Preoperative care of cataract surgery, SAMBA releases position statement
USA: The Society for Ambulatory Anesthesia (SAMBA) has presented a position statement for preoperative care for cataract surgery. The statement is published in the journal Anesthesia & Analgesia.
Cataract surgeries are the most common procedures that require anesthesia care. Cataracts are a common cause of blindness. The only effective treatment of cataracts is surgery. Those affected are usually elderly patients with comorbidities. Most cataracts can be treated using topical or regional anesthesia with minimum or no sedation. There is minimal risk of adverse outcomes. There is general consensus that cataract surgery is extremely low risk, and the benefits of sight restoration and preservation are enormous.
Following are the statement's key recommendations:
- SAMBA recommends that cataract surgery should be delayed only for patients with malignant hypertension defined as elevated blood pressures with acute end-organ damage.
- SAMBA recommends against acutely lowering blood pressures for patients anticipating cataract surgery immediately preoperatively.
- SAMBA recommends the continuation of antiplatelet and anticoagulant medications before cataract surgery.
- SAMBA recommends that patients with coronary stents can have cataract surgery 30 days after coronary artery stent insertion as long as DAPT is continued uninterrupted.
- SAMBA recommends that cataract surgery not be delayed in patients with atrial fibrillation as long as the patient is asymptomatic with stable hemodynamics.
- SAMBA recommends that practitioners be familiar with CIED functionality, and against reprogramming devices or use of a magnet for patients having cataract surgery.
- SAMBA recommends only delaying cataract surgery in patients with evidence of ketoacidosis or hyperosmolar hyperglycemic nonketotic syndrome or significant hypoglycemia.
- SAMBA recommends that providers establish and follow institutional guidelines for safe care of obese patients having cataract surgery.
- SAMBA recommends that ASA-PS 4 patients with stable comorbidities who can tolerate cataract surgery with topical or regional anesthesia and no or minimal sedation can safely undergo cataract surgery in a free-standing ASC.
- SAMBA recommends that medical comorbidities (eg, a patient with a difficult airway, severe pulmonary disease) are considered when deciding to offer general anesthesia for cataract surgery.
- SAMBA recommends no testing before cataract surgery unless indicated independent of the procedure.
- SAMBA recommends that patients having cataract surgery can and should typically continue all of their routine medications throughout the perioperative period.
Reference:
Sweitzer, BobbieJean MD, FACP, SAMBA-F, FASA*; Rajan, Niraja MD†; Schell, Dawn MD‡; Gayer, Steven MD, MBA§; Eckert, Stan MD∥; Joshi, Girish P. MBBS, MD, FFARCSI¶ Preoperative Care for Cataract Surgery: The Society for Ambulatory Anesthesia Position Statement, Anesthesia & Analgesia: December 2021 - Volume 133 - Issue 6 - p 1431-1436 doi: 10.1213/ANE.0000000000005652
MSc. Biotechnology
Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751