Cargando…

Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery

BACKGROUND: Emergence agitation, vomiting, and oculocardiac reflex (OCR) in children undergoing strabismus surgery under general anesthesia are common problems. The purpose of this study was to determine whether the effect of analgesia can reduce the incidence of these problems. We compared the effe...

Descripción completa

Detalles Bibliográficos
Autores principales: Ibrahim, AN, Shabana, T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292857/
https://www.ncbi.nlm.nih.gov/pubmed/28217058
http://dx.doi.org/10.4103/1658-354X.197349
_version_ 1782505003790893056
author Ibrahim, AN
Shabana, T
author_facet Ibrahim, AN
Shabana, T
author_sort Ibrahim, AN
collection PubMed
description BACKGROUND: Emergence agitation, vomiting, and oculocardiac reflex (OCR) in children undergoing strabismus surgery under general anesthesia are common problems. The purpose of this study was to determine whether the effect of analgesia can reduce the incidence of these problems. We compared the effects of sub-Tenon's injection versus intravenous (IV) and rectal paracetamol in this surgery. METHODS: In a prospective, randomized, double-blind study, ninety patients ranging in age from 4 to 8 years scheduled for extraocular muscle surgery for strabismus were included in this study. After induction of anesthesia, just before the surgery, children were divided into three groups (n = 30 for each group) Group A received sub-Tenon's anesthesia with 2.5% bupivacaine (0.08 ml/kg). Group B received IV paracetamol (20 mg/kg). Group C received paracetamol rectal suppository (40 mg/kg). The occurrence of oculocardiac reflex (OCR) intraoperatively was recorded. Then, in the Postanesthesia Care Unit, patients were assessed for their emergence behaviors. Vomiting was also noticed. RESULTS: The OCR developed in few patients, and there was no significant difference between the groups. The highest number of patients with agitation was in Group C followed by Group B then Group A. Vomiting was significantly low in Group A followed by Group B then Group C. CONCLUSION: Sub-Tenon block in strabismus surgery in children decreased the incidence of postoperative agitation and vomiting compared with IV paracetamol then rectal paracetamol. There was no difference between sub-Tenon block and paracetamol in the incidence of oculocardiac reflex.
format Online
Article
Text
id pubmed-5292857
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-52928572017-02-17 Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery Ibrahim, AN Shabana, T Saudi J Anaesth Original Article BACKGROUND: Emergence agitation, vomiting, and oculocardiac reflex (OCR) in children undergoing strabismus surgery under general anesthesia are common problems. The purpose of this study was to determine whether the effect of analgesia can reduce the incidence of these problems. We compared the effects of sub-Tenon's injection versus intravenous (IV) and rectal paracetamol in this surgery. METHODS: In a prospective, randomized, double-blind study, ninety patients ranging in age from 4 to 8 years scheduled for extraocular muscle surgery for strabismus were included in this study. After induction of anesthesia, just before the surgery, children were divided into three groups (n = 30 for each group) Group A received sub-Tenon's anesthesia with 2.5% bupivacaine (0.08 ml/kg). Group B received IV paracetamol (20 mg/kg). Group C received paracetamol rectal suppository (40 mg/kg). The occurrence of oculocardiac reflex (OCR) intraoperatively was recorded. Then, in the Postanesthesia Care Unit, patients were assessed for their emergence behaviors. Vomiting was also noticed. RESULTS: The OCR developed in few patients, and there was no significant difference between the groups. The highest number of patients with agitation was in Group C followed by Group B then Group A. Vomiting was significantly low in Group A followed by Group B then Group C. CONCLUSION: Sub-Tenon block in strabismus surgery in children decreased the incidence of postoperative agitation and vomiting compared with IV paracetamol then rectal paracetamol. There was no difference between sub-Tenon block and paracetamol in the incidence of oculocardiac reflex. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5292857/ /pubmed/28217058 http://dx.doi.org/10.4103/1658-354X.197349 Text en Copyright: © 2017 Saudi Journal of Anesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ibrahim, AN
Shabana, T
Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery
title Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery
title_full Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery
title_fullStr Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery
title_full_unstemmed Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery
title_short Sub-Tenon's injection versus paracetamol in pediatric strabismus surgery
title_sort sub-tenon's injection versus paracetamol in pediatric strabismus surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5292857/
https://www.ncbi.nlm.nih.gov/pubmed/28217058
http://dx.doi.org/10.4103/1658-354X.197349
work_keys_str_mv AT ibrahiman subtenonsinjectionversusparacetamolinpediatricstrabismussurgery
AT shabanat subtenonsinjectionversusparacetamolinpediatricstrabismussurgery