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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...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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 |
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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 |
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