Anesthetics During Cataract Surgery Survey
Thank you in advance for filling out this survey.  This is being sponsored by the Ophthalmic Anesthesia Society and data will be made shareable.  Participants will be entered into a raffle for a $250 amazon gift card. Contact information is only used for the raffle unless otherwise permitted.
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What is the most common local anesthetic regimen used at your facility for cataract surgery patients? Choose only one.

In addition to local anesthetics, what percentage of cataract surgery patients also receive medication for sedation and/or reduction of procedural anxiety?

 In addition to local anesthetics, what percentage of cataract surgery patients also receive medication for pain?

With regards to standard procedure at your facility, what medications are given PREoperatively for patients undergoing cataract surgery? (this is before going to the operating room)

What is the most common dosage form of PREoperative medication for patients undergoing cataract surgery at your facility?

What percent of cataract surgery patients require additional medication for sedation and/or reduction of anxiety at any time after the initial dosing regimen?  (rescue therapy)

Considering those patients that require additional medication in addition to that given initially, what medication is most commonly administered for sedation and/or reduction of anxiety? Select all that apply.

What percent of cataract surgery patients require additional medication for pain at any time after the initial dosing regimen? (rescue therapy)

Considering those patients that require additional medication in addition to that given initially, what medication is most commonly administered for pain? Select all that apply.

How many of your patients receive an opioid medication at any time prior to or during their cataract surgery? (Pre and intra-operatively)
When utilized, what is the most common opiate used?
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Is/Are there certain subsets of patients who more frequently or consistently require supplemental opiate pain medication during cataract surgery? (e.g. more complex cases, longer duration, gender, age)? 

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If you answered "Yes" to the last questions, please describe this subset(s) of patients and include approximately what percentage of patients fall into these categories.

Are your patients ever prescribed analgesic medications for acute pain management postoperatively? (by yourself or another provider)

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If you answered yes, to what percentage of patients?

If yes, what type of analgesic medications do you prescribe?

What is the biggest frustration you face currently with current treatment options for conscious sedation and analgesia for cataract surgery?

On a scale of 1-10, how important would it be for you/your practice if there was a new product that could meaningfully reduce (e.g. > or = to 50%) or eliminate the need for opioids during cataract surgery procedures?  (1= no importance and 10= extremely important)

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What type of practice do you work in?
What type of location do your surgeries take place in?
Are you able to pull data from your EMR regarding the frequency by which opioids are used during cataract surgery?
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May we contact you for help with collecting EMR data regarding opioid use and cataract surgery?  (If yes, you would be compensated for your time - please enter your email address with next question)
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Please enter your name and email address to be entered into the raffle.
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