Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia

Colin A. McCannel, John R. Nordlund, Douglas Bacon, Dennis M. Robertson, David Wilson, John F. O'Neill, Charles P. Wilkinson, James C. Bobrow, Hugh R. Taylor, Douglas D. Koch, Ivan R. Schwab, Thomas D. France

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose: To determine the incidence of postoperative systemic complications and nonophthalmic reasons for prolonged hospitalization after vitreoretinal procedures performed under general anesthesia. Methods: Patient charts of vitreoretinal or ocular oncologic surgical cases performed under general anesthesia between 1996 and 2001 were reviewed retrospectively. Occurrences of postoperative systemic events within 4 weeks of surgery were documented. Results: We identified 418 cases as having been performed under general anesthesia during the study period. The mean American Society of Anesthesiology physical status classification was 2.1. There were no confirmed cases of myocardial infarction (MI), pulmonary embolism (PE), or deep venous thrombosis (DVT) within the first 24 hours after surgery. There were two instances of hospital admission for evaluation of postoperative chest pain (0.48%; 95% CI, 0.06-1.72), and four instances of hospital admission, or prolongation of stay, because of urinary retention (0.96%; 95% CI, 0,26-2.43). In the 4 weeks following surgery, there was one MI (0.24%; 95% CI, 0.01-1.33), 2 cases of nonfatal PE (0.48%; 95% CI, 0.06-1.72), and 2 cases of DVT (0.48%; 95% CI, 0.06-1.72). All patients that developed PE and DVT had risk factors for the development of thromboembolic disease in addition to surgery under general anesthesia. Conclusions: In this study, 2.6% of cases had postoperative systemic complications after vitreoretinal or ocular oncologic surgery that was conducted under general anesthesia. Urinary retention was the most common reason for unanticipated hospital stay.

Original languageEnglish (US)
Pages (from-to)209-215
Number of pages7
JournalTransactions of the American Ophthalmological Society
Volume101
StatePublished - 2003
Externally publishedYes

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General Anesthesia
Morbidity
Pulmonary Embolism
Mortality
Venous Thrombosis
Urinary Retention
Myocardial Infarction
Anesthesiology
Postoperative Pain
Chest Pain
Length of Stay
Hospitalization
Incidence

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia. / McCannel, Colin A.; Nordlund, John R.; Bacon, Douglas; Robertson, Dennis M.; Wilson, David; O'Neill, John F.; Wilkinson, Charles P.; Bobrow, James C.; Taylor, Hugh R.; Koch, Douglas D.; Schwab, Ivan R.; France, Thomas D.

In: Transactions of the American Ophthalmological Society, Vol. 101, 2003, p. 209-215.

Research output: Contribution to journalArticle

McCannel, CA, Nordlund, JR, Bacon, D, Robertson, DM, Wilson, D, O'Neill, JF, Wilkinson, CP, Bobrow, JC, Taylor, HR, Koch, DD, Schwab, IR & France, TD 2003, 'Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia', Transactions of the American Ophthalmological Society, vol. 101, pp. 209-215.
McCannel, Colin A. ; Nordlund, John R. ; Bacon, Douglas ; Robertson, Dennis M. ; Wilson, David ; O'Neill, John F. ; Wilkinson, Charles P. ; Bobrow, James C. ; Taylor, Hugh R. ; Koch, Douglas D. ; Schwab, Ivan R. ; France, Thomas D. / Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia. In: Transactions of the American Ophthalmological Society. 2003 ; Vol. 101. pp. 209-215.
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abstract = "Purpose: To determine the incidence of postoperative systemic complications and nonophthalmic reasons for prolonged hospitalization after vitreoretinal procedures performed under general anesthesia. Methods: Patient charts of vitreoretinal or ocular oncologic surgical cases performed under general anesthesia between 1996 and 2001 were reviewed retrospectively. Occurrences of postoperative systemic events within 4 weeks of surgery were documented. Results: We identified 418 cases as having been performed under general anesthesia during the study period. The mean American Society of Anesthesiology physical status classification was 2.1. There were no confirmed cases of myocardial infarction (MI), pulmonary embolism (PE), or deep venous thrombosis (DVT) within the first 24 hours after surgery. There were two instances of hospital admission for evaluation of postoperative chest pain (0.48{\%}; 95{\%} CI, 0.06-1.72), and four instances of hospital admission, or prolongation of stay, because of urinary retention (0.96{\%}; 95{\%} CI, 0,26-2.43). In the 4 weeks following surgery, there was one MI (0.24{\%}; 95{\%} CI, 0.01-1.33), 2 cases of nonfatal PE (0.48{\%}; 95{\%} CI, 0.06-1.72), and 2 cases of DVT (0.48{\%}; 95{\%} CI, 0.06-1.72). All patients that developed PE and DVT had risk factors for the development of thromboembolic disease in addition to surgery under general anesthesia. Conclusions: In this study, 2.6{\%} of cases had postoperative systemic complications after vitreoretinal or ocular oncologic surgery that was conducted under general anesthesia. Urinary retention was the most common reason for unanticipated hospital stay.",
author = "McCannel, {Colin A.} and Nordlund, {John R.} and Douglas Bacon and Robertson, {Dennis M.} and David Wilson and O'Neill, {John F.} and Wilkinson, {Charles P.} and Bobrow, {James C.} and Taylor, {Hugh R.} and Koch, {Douglas D.} and Schwab, {Ivan R.} and France, {Thomas D.}",
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T1 - Perioperative morbidity and mortality associated with vitreoretinal and ocular oncologic surgery performed under general anesthesia

AU - McCannel, Colin A.

AU - Nordlund, John R.

AU - Bacon, Douglas

AU - Robertson, Dennis M.

AU - Wilson, David

AU - O'Neill, John F.

AU - Wilkinson, Charles P.

AU - Bobrow, James C.

AU - Taylor, Hugh R.

AU - Koch, Douglas D.

AU - Schwab, Ivan R.

AU - France, Thomas D.

PY - 2003

Y1 - 2003

N2 - Purpose: To determine the incidence of postoperative systemic complications and nonophthalmic reasons for prolonged hospitalization after vitreoretinal procedures performed under general anesthesia. Methods: Patient charts of vitreoretinal or ocular oncologic surgical cases performed under general anesthesia between 1996 and 2001 were reviewed retrospectively. Occurrences of postoperative systemic events within 4 weeks of surgery were documented. Results: We identified 418 cases as having been performed under general anesthesia during the study period. The mean American Society of Anesthesiology physical status classification was 2.1. There were no confirmed cases of myocardial infarction (MI), pulmonary embolism (PE), or deep venous thrombosis (DVT) within the first 24 hours after surgery. There were two instances of hospital admission for evaluation of postoperative chest pain (0.48%; 95% CI, 0.06-1.72), and four instances of hospital admission, or prolongation of stay, because of urinary retention (0.96%; 95% CI, 0,26-2.43). In the 4 weeks following surgery, there was one MI (0.24%; 95% CI, 0.01-1.33), 2 cases of nonfatal PE (0.48%; 95% CI, 0.06-1.72), and 2 cases of DVT (0.48%; 95% CI, 0.06-1.72). All patients that developed PE and DVT had risk factors for the development of thromboembolic disease in addition to surgery under general anesthesia. Conclusions: In this study, 2.6% of cases had postoperative systemic complications after vitreoretinal or ocular oncologic surgery that was conducted under general anesthesia. Urinary retention was the most common reason for unanticipated hospital stay.

AB - Purpose: To determine the incidence of postoperative systemic complications and nonophthalmic reasons for prolonged hospitalization after vitreoretinal procedures performed under general anesthesia. Methods: Patient charts of vitreoretinal or ocular oncologic surgical cases performed under general anesthesia between 1996 and 2001 were reviewed retrospectively. Occurrences of postoperative systemic events within 4 weeks of surgery were documented. Results: We identified 418 cases as having been performed under general anesthesia during the study period. The mean American Society of Anesthesiology physical status classification was 2.1. There were no confirmed cases of myocardial infarction (MI), pulmonary embolism (PE), or deep venous thrombosis (DVT) within the first 24 hours after surgery. There were two instances of hospital admission for evaluation of postoperative chest pain (0.48%; 95% CI, 0.06-1.72), and four instances of hospital admission, or prolongation of stay, because of urinary retention (0.96%; 95% CI, 0,26-2.43). In the 4 weeks following surgery, there was one MI (0.24%; 95% CI, 0.01-1.33), 2 cases of nonfatal PE (0.48%; 95% CI, 0.06-1.72), and 2 cases of DVT (0.48%; 95% CI, 0.06-1.72). All patients that developed PE and DVT had risk factors for the development of thromboembolic disease in addition to surgery under general anesthesia. Conclusions: In this study, 2.6% of cases had postoperative systemic complications after vitreoretinal or ocular oncologic surgery that was conducted under general anesthesia. Urinary retention was the most common reason for unanticipated hospital stay.

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