Cargando…

Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery

PURPOSE: To describe the method that seeks to improve the administration of regional anesthesia for vitroretinal surgery avoiding the risk of potential complications associated with other techniques through comparison of safety and efficacy of classic peribulbar anesthesia versus single percutaneous...

Descripción completa

Detalles Bibliográficos
Autores principales: El Said, Tarek M., Kabeel, Mamdouh Mahmoud
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945519/
https://www.ncbi.nlm.nih.gov/pubmed/20927267
http://dx.doi.org/10.4103/1658-354X.65130
_version_ 1782187225800245248
author El Said, Tarek M.
Kabeel, Mamdouh Mahmoud
author_facet El Said, Tarek M.
Kabeel, Mamdouh Mahmoud
author_sort El Said, Tarek M.
collection PubMed
description PURPOSE: To describe the method that seeks to improve the administration of regional anesthesia for vitroretinal surgery avoiding the risk of potential complications associated with other techniques through comparison of safety and efficacy of classic peribulbar anesthesia versus single percutaneous technique using a prospective, randomized clinical trial. MATERIALS AND METHODS: One hundred patients were randomized to classic peribulbar and single percutaneous peribulbar technique after informed consent. Pain during administration of anesthesia, during surgery was graded on a visual analogue pain scale and compared for both techniques. Globe akinesia, analgesia and IOP measurements before and after administration of anesthesia, detection of distribution of local anesthetic agent by ultrasound scanning and complications related were also compared. RESULTS: Twenty out of 50 (40%) patients of group 1(classic pirebulbar) and 36/50 (72%) of group II (single percutaneous technique) experience no pain during administration of anesthesia. Scores for globe akinesia and anesthesia were less satisfactory in group 1 and supplemental blocks required in 8% of the patients while in group II all of the patients (100%) showed proper globe akinesia and anesthesia. There were significant elevation in mean IOP following injection in both groups and the incidence of subconjunctival haemorrhage, chemosis and echymosis were more frequent in group 1. CONCLUSION: Single percutaneous peribulbar technique proved to be a safe and efficient technique that offers excellent anesthesia and akinesia with less complication for various ophthalmic procedures
format Text
id pubmed-2945519
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher Medknow Publications
record_format MEDLINE/PubMed
spelling pubmed-29455192010-10-06 Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery El Said, Tarek M. Kabeel, Mamdouh Mahmoud Saudi J Anaesth Original Article PURPOSE: To describe the method that seeks to improve the administration of regional anesthesia for vitroretinal surgery avoiding the risk of potential complications associated with other techniques through comparison of safety and efficacy of classic peribulbar anesthesia versus single percutaneous technique using a prospective, randomized clinical trial. MATERIALS AND METHODS: One hundred patients were randomized to classic peribulbar and single percutaneous peribulbar technique after informed consent. Pain during administration of anesthesia, during surgery was graded on a visual analogue pain scale and compared for both techniques. Globe akinesia, analgesia and IOP measurements before and after administration of anesthesia, detection of distribution of local anesthetic agent by ultrasound scanning and complications related were also compared. RESULTS: Twenty out of 50 (40%) patients of group 1(classic pirebulbar) and 36/50 (72%) of group II (single percutaneous technique) experience no pain during administration of anesthesia. Scores for globe akinesia and anesthesia were less satisfactory in group 1 and supplemental blocks required in 8% of the patients while in group II all of the patients (100%) showed proper globe akinesia and anesthesia. There were significant elevation in mean IOP following injection in both groups and the incidence of subconjunctival haemorrhage, chemosis and echymosis were more frequent in group 1. CONCLUSION: Single percutaneous peribulbar technique proved to be a safe and efficient technique that offers excellent anesthesia and akinesia with less complication for various ophthalmic procedures Medknow Publications 2010 /pmc/articles/PMC2945519/ /pubmed/20927267 http://dx.doi.org/10.4103/1658-354X.65130 Text en © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
El Said, Tarek M.
Kabeel, Mamdouh Mahmoud
Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
title Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
title_full Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
title_fullStr Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
title_full_unstemmed Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
title_short Comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
title_sort comparison of classic peribulbar anesthesia and new entry point (single percutaneous injection technique) in vitroretinal surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945519/
https://www.ncbi.nlm.nih.gov/pubmed/20927267
http://dx.doi.org/10.4103/1658-354X.65130
work_keys_str_mv AT elsaidtarekm comparisonofclassicperibulbaranesthesiaandnewentrypointsinglepercutaneousinjectiontechniqueinvitroretinalsurgery
AT kabeelmamdouhmahmoud comparisonofclassicperibulbaranesthesiaandnewentrypointsinglepercutaneousinjectiontechniqueinvitroretinalsurgery