CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by DELILKAN, A. E.
Right arrow Articles by CHANDRAN, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by DELILKAN, A. E.
Right arrow Articles by CHANDRAN, S.

Canadian Journal of Anesthesia, Vol 21, 407-416, Copyright © 1974 by Canadian Anesthesiologists' Society

Cataract Extractions without Tracheal Intubation

A. E. DELILKAN M.B.B.S., F.F.A.R.C.S., A.M.1 and S. CHANDRAN M.B.B.S., F.R.C.S., D.C.2

1 Department of Anaesthesiology, University of Malaya, Kuala Lumpur, Malaysia
2 Department of Ophthalmology, University of Malaya, Kuala Lumpur, Malaysia

Following a retrospective study of opthalmic complications after cataract extractions a planned study of 135 cases was conducted to compare the complication rates when general anaesthesia was administered with and without tracheal intubation. General anaesthesia without intubation was conducted through an oropharyngeal airway with an airway adaptor for the circuit tubes. A chin support was provided by use of an 18-inch-long strip of adhesive plaster, split for 6 inches to form a Y; the stem of the Y-plaster was anchored to the head of the table and the limbs under the chin. Two anaesthetic circuits were studied including arterial blood gas analyses.

The results showed in a statistically significant degree that anaesthesia without intubation was associated with a lower incidence of ophthalmic complications. The patency of the respiratory passages without tracheal intubation provides safe respiration with the Mapleson "A" semi-closed circuit using a simple Y-shaped strip of adhesive tape to hold up the lower jaw and maintain head extension.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1974 by the Canadian Anesthesiologists' Society.