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June 1964

Anesthesia in Clinical Ophthalmology.

Arch Ophthalmol. 1964;71(6):918. doi:10.1001/archopht.1964.00970010934029

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There has been a need for a primer about anesthesia for eye operations suitably basic and modern so that the problems of the ophthalmologist and the anesthesiologist would be mutually understood. This book does an admirable job in this direction. The normal and abnormal physiology of the eye is briefly presented for the anesthesiologist. Special emphasis is placed on the importance of maintaining intraocular tension at or below normal levels during and after intraocular procedures. The effects of premedicants, general anesthetic drugs, and the various muscle relaxants on the intraocular pressure are discussed.

It is refreshing to note the unqualified recommendation of the use of an endotracheal tube during general anesthesia "to maintain proper ventilation of the patient, keep the anesthesiologist remote from the surgical field and allow for the judicious use of muscle relaxants." There is a clear discussion of general anesthetic management for adults and children during various

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