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Our involvement in cataracts done under topical is quite silly. The goal is to give as little as possible. It's ridiculous even doing the preop. "You'll be awake so you can look straight ahead." 1mg midaz, 25-50mcg fentanyl is more than enough.
If the surgeon does blocks either blanket or selectively, I find it usually takes 0.75-1 mg/kg propofol for adequate depth. By the time they wake up the case is started. Your biggest problem is the "reachers." God knows what the ophthos are doing in there but their patients seem to like them.
Does anyone else think it's hilarious that there are all these subspecialties of ophtho when the different parts are like 1cm from each other. "Oh I'm a retina guy"
If the surgeon does blocks either blanket or selectively, I find it usually takes 0.75-1 mg/kg propofol for adequate depth. By the time they wake up the case is started. Your biggest problem is the "reachers." God knows what the ophthos are doing in there but their patients seem to like them.
Does anyone else think it's hilarious that there are all these subspecialties of ophtho when the different parts are like 1cm from each other. "Oh I'm a retina guy"