Strabismus, Surgery
Conditions
Keywords
Adjustable strabismus surgery, Target-controlled infusion of Propofol-Reminfentanyl
Brief summary
The purpose of this study is to note that one-stage adjustable surgery can be enough to provide satisfactory results for the correction of strabismus in adults thanks to the use of an anesthesia type AIVOC (Target-controlled infusion of Propofol-Remifentanyl)
Detailed description
Adjustable surgery is a surgical treatment technique for strabismus and oculomotor paralysis well known and widely used around the world. The adjustable surgery is done in 2 steps. The first step, performed under general anesthesia, is practically the same as classic strabismus surgery however one or more muscles are fixed by temporary sutures. In a second time once the patient is awake and after a new clinical examination the sutures are adjusted and definitively fixed. The adjustment is sometimes made the same day but more often the day after the first intervention because it requires a state of consciousness close to normal. Anesthesia type Intravenous Intensity Concentration Anesthesia (AIVOC) allows the realization of a surgery under anesthesia general deep (choice of a cerebral or plasma anesthetic target suitable for surgery) but allows a programmed awakening, very fast in full consciousness, condition of an immediate reliable adjustment practically upon stopping the infusion of the anesthetic agent. The goal is to present an adjustable surgery technique simplified from a logistical point of view since performed in a single step thanks to the contribution of Intravenous Anesthesia with Concentration Objective (AIVOC) and to show that its results are equivalent to a second deferred time.
Interventions
None listed
Sponsors
Clinique Saint Jean, France
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient with medical insurance * Major patient requiring a strabismus surgery * Patient who received information about study and not having expressed their opposition to participate in the study
Exclusion criteria
* Minor patient * Patient participation in another interventional study * Patient having expressed their opposition to participate in the study * Patient for whom it is impossible to give informed information * Patient under the protection of justice, under curatorship ou under tutorship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Need for a second adjustement time | The day after the intervention | Use of a second adjustment time the day after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient comfort assessment questionnaire | 5 minutes after the end of the intervention | This is a question to determine the comfort of the patient immediatly after the intervention. Very comfortable Comfortable Less comfortable Uncomfortable Very uncomfortable |
| Digital visual scale to assess pain of patient | Before the intervention, before the intervention and one month after the intervention | Numeric scale numbered from 0 to 10. 0 : no pain, 10 : worst pain possible |
| Patient satisfaction questionnaire | 5 minutes after the end of the intervention | Numeric scale numbered from 0 to 10. 0 : unsatisfied, 10 : very satisfied |
Countries
France
Outcome results
None listed