A-M Dieplinger1, F S Kundt2, M Klösch2. 1. Institut für Pflegewissenschaft und -praxis, Paracelsus Medizinische Privatuniversität Salzburg, Strubergasse 21, 5020, Salzburg, Österreich. anna.dieplinger@pmu.ac.at. 2. Institut für Pflegewissenschaft und -praxis, Paracelsus Medizinische Privatuniversität Salzburg, Strubergasse 21, 5020, Salzburg, Österreich.
Abstract
BACKGROUND: Intraoperative eye protection is generally important during surgery in patients under general anesthesia. There are, however, challenges that arise when a laser is used intraoperatively. In gynecological and urological diseases lasers are increasingly being used for treatment but a lege artis eye cover or protection has not yet been investigated in the international literature. OBJECTIVE: According to nursing experts, how is a lege artis eye coverage performed during gynecological and urological laser surgery? MATERIAL AND METHODS: In order to answer the research question, standardized expert interviews were carried out via telephone, direct face to face interviews and e‑mails with experts from specialized clinics in Austria. The results of a nonsystematic literature search formed the basis for the interview guidelines. RESULTS: In this study 11 experts agreed to participate in a qualitative survey. The result of the interviews recommended the use of skin-friendly plasters in combination with a vitamin D eye ointment, special plasters/covers and/or laser safety goggles with a vitamin D eye ointment and NaCl dressings. In addition to the direct protection of the eye, a periodic intraoperative eyelid closure check must be performed. CONCLUSION: The findings from the expert interviews are to be understood as practice recommendations. Further research is needed in the future.
BACKGROUND: Intraoperative eye protection is generally important during surgery in patients under general anesthesia. There are, however, challenges that arise when a laser is used intraoperatively. In gynecological and urological diseases lasers are increasingly being used for treatment but a lege artis eye cover or protection has not yet been investigated in the international literature. OBJECTIVE: According to nursing experts, how is a lege artis eye coverage performed during gynecological and urological laser surgery? MATERIAL AND METHODS: In order to answer the research question, standardized expert interviews were carried out via telephone, direct face to face interviews and e‑mails with experts from specialized clinics in Austria. The results of a nonsystematic literature search formed the basis for the interview guidelines. RESULTS: In this study 11 experts agreed to participate in a qualitative survey. The result of the interviews recommended the use of skin-friendly plasters in combination with a vitamin D eye ointment, special plasters/covers and/or laser safety goggles with a vitamin D eye ointment and NaCl dressings. In addition to the direct protection of the eye, a periodic intraoperative eyelid closure check must be performed. CONCLUSION: The findings from the expert interviews are to be understood as practice recommendations. Further research is needed in the future.
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