Peribulbar anesthesia. Our experience
Keywords:
ANESTESIA PERIBULBAR, ASA, OCULOPRESIONAbstract
An observational descriptive study was done with the aim of establishing the behaviour of peribulbar blockade in cataract surgery. Fifty adult patients ASA I and II scheduled in an elective way, the ones classified as ASA III were excluded. An anesthesia mixture was used with 5ml of lidocaine 2% and 5ml of bupivacaine 0.5%. We found an age older than 50 years where the ages higher than 70 years; 52% of patients has comparated chronic illness (ASA II), the rist were healthy (ASA I). The blockade was complite in 14 patients, satisfactory in 28, well in 8 and regular in 2 cases inteocular preasure increased considerably after the ingestion and was normalized with oculopressure within the advese effects and more important complications that presented: chemasis, palpebral edema, eechymosis and sinusal bradycardia in two patients there were stability in the vital signs except in two cases mentioned in whom the heart rate decreased below 50 lpm. The duration of the sensitive blockade was of 12 +-1.3 hr and that of the motor of 10 +-1.5hr. All patients were satisfied and only in one case there was insatisfaction of the surgeon.Downloads
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References
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2. Cecil . Anestesia General. T. 2. Ciudad de la Habana: Editorial Científico- Técnica; 1986.
3. Friedman DS, Bass EB, Lubomski LH. Synthesis of the literature on the effectivenesess of regional anaesthesia for cataract surgery. Ophthalmology 2001; 108:519-29.
4. Aziz ES, Samra A. Prospective evaluation of deep topical fornix nerve block versus peribulbar nerve block in patients undergoing cataract surgery using phacoemulsification. Br J Anaesth 2000; 85: 314-6.
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10. David R, Thomas MD, Christine S, Ritchie MD. Progress in Geriatrics. Jags 1995; 43(7): 811-821.
11. Crul BJ, Hulstijn W, Burger IC. Influence of the type of anesthesia on post-operative subjective, physical well-being and mental function in elderly patients. Acta Anaesth Scand 1992; 36(7): 615-20.
12. Gabutto A, Farina P, Cgorno P, Capelli M, Giuntoli M. Neuropsychology effects of anestesia in the eldery. Minerva Anesth 1992; 58 (9): 535-42.
13. Anestesia para cirugía oftálmica. En: Dr Scope. Programa de actualización continua para anestesia. [En línea] 2003 (fecha de acceso 9 de junio de 2004) URL disponible en: http://wwwdrscope.com/pac/anestesia
14. Moschini V, Dabrowska D, Iorno V. Cataract surgery: regional anesthesia or monitored anesthesia care? Minerva Anestesiol 2001; 67(11):785-9.
15. Hamilton RC. Técnicas de anestesia regional de la órbita. Br J Anaesth 1995; 75:88-92.
16. Amigó Rodríguez A, Herrera Piñero R, Pérez Silguero MA, Muiños Gómez-Camacho JA. Anestesia tópica como técnica de primera elección en la cirugía de la catarata en una muestra aleatoria de la población canaria. [En línea] 1999 (fecha de acceso 9 junio de 2004) URL disponible en: http://www.Ofthalmo.com/sco/revista-10/sco07.htm
17. Katz J, Feldman MA, Bass EB. Injectable versus topical anesthesia for cataract surgery: patient perception of pain and side effects. The study of medical testing for cataract surgery study team. Ophthalmology 2000; 107: 2054-60.
18. Ripart J, Lefrant JY, Vivien B. Ophtalmic regional anesthesia : Medical canthus episcleral (sub-tenon) anesthesia is more efficient than peribulbar anesthesia : A double-blind randomized study. Anesthesiology 2000; 92:1278-85.
19. Cecil Gray. Anestesia General. t. 2. Ciudad de la Habana: Editorial Científico- Técnica; 1986.
20. Hamilton RC. A discourse on the complication of retrobulbar and peribulbar blockade. Can J Ophthalmol 2000; 35: 363-72.
21. Rangel GW, Chona JE, Mauricio L. Bloqueo peribulbar adicionando opiodes en analgesia postoperatoria para cirugía oftálmica. Un ensayo clínico controlado. Medunab 2001; 4(10):1-8.
22. Pannu JS. Peribulbar vs retrobulbar anesthetic techniques. Ophth Surg 1990; 21: 147-149.
23. Kishore K, Agarwal HC, Sood NN, Betharia SM, Sihota R, War CN. Evaluation of peribulbar anesthesia in eye capms. Opth Surg 1990; 21: 566-570.
24. Fry RA, Henderson J. Local anaesthesia for eye surgery. The periocular technique. Anaesthesia 1989; 45: 14-17.
25. Nociti J, Serzedo P, Zuccolotto E. Intraocular pressure and ropivacaine in peribulbar block: A comparative study with bupivacaína. Acta Anesthesiol Scand 2001; 45:600-2.
26. Losada Castillo MJ, Martínez Piñero A, Abreu Reyes A, González La Rosa MA. Variaciones de la presión intraocular tras la anestesia local para la cirugía de la catarata. [En línea] 1998 (fecha de acceso 9 junio de 2004) URL disponible en: http://www.Ofthalmo.com/sco/revista-09/sco04.htm
27. Haberer JP. Les complicationes de la sedatoin et de la premedication en anesthesie ofthalmologie. Opthalmologie 2000 ; 23:9, 901-06.
28. Wolf GL, Goldfarb H. Complications in ophthalmologic anesthesia. Sem Anesth 1990; IX (2):108-118.
2. Cecil . Anestesia General. T. 2. Ciudad de la Habana: Editorial Científico- Técnica; 1986.
3. Friedman DS, Bass EB, Lubomski LH. Synthesis of the literature on the effectivenesess of regional anaesthesia for cataract surgery. Ophthalmology 2001; 108:519-29.
4. Aziz ES, Samra A. Prospective evaluation of deep topical fornix nerve block versus peribulbar nerve block in patients undergoing cataract surgery using phacoemulsification. Br J Anaesth 2000; 85: 314-6.
5. Jonson RW, Forrest FC. Local and General Anaesthesia for Ophthalmic Surgery. Great Britain at the University Press, Cambridge: Butterworth-Heinemann; 1994.
6. Alvarez MI. Comparación de tres técnicas anestésicas en cirugía de cataratas por facoemulsificacion. Revista Venezolana de Anestesiología 2002; 7(2):307-325.
7. Rodríguez Romero A, Mulet Quijano A, Ibáñez Morales M, Navarro Gonzáles H, García Gómez E. Uso de la analgesia quirúrgica acupuntural en oftalmología. Rev Cubana Oftalmol 1996; 9 (1): 25-30.
8. Deluca CA. Anestesia peribulbar en cirugía oftalmológica. Rev Anestesiol 1994; 52(1): 332- 345.
9. Martorell SA, Paz EM, Valdés RV. Oftalmología. Ciudad de la Habana: Editorial Pueblo y Educación; 1983.
10. David R, Thomas MD, Christine S, Ritchie MD. Progress in Geriatrics. Jags 1995; 43(7): 811-821.
11. Crul BJ, Hulstijn W, Burger IC. Influence of the type of anesthesia on post-operative subjective, physical well-being and mental function in elderly patients. Acta Anaesth Scand 1992; 36(7): 615-20.
12. Gabutto A, Farina P, Cgorno P, Capelli M, Giuntoli M. Neuropsychology effects of anestesia in the eldery. Minerva Anesth 1992; 58 (9): 535-42.
13. Anestesia para cirugía oftálmica. En: Dr Scope. Programa de actualización continua para anestesia. [En línea] 2003 (fecha de acceso 9 de junio de 2004) URL disponible en: http://wwwdrscope.com/pac/anestesia
14. Moschini V, Dabrowska D, Iorno V. Cataract surgery: regional anesthesia or monitored anesthesia care? Minerva Anestesiol 2001; 67(11):785-9.
15. Hamilton RC. Técnicas de anestesia regional de la órbita. Br J Anaesth 1995; 75:88-92.
16. Amigó Rodríguez A, Herrera Piñero R, Pérez Silguero MA, Muiños Gómez-Camacho JA. Anestesia tópica como técnica de primera elección en la cirugía de la catarata en una muestra aleatoria de la población canaria. [En línea] 1999 (fecha de acceso 9 junio de 2004) URL disponible en: http://www.Ofthalmo.com/sco/revista-10/sco07.htm
17. Katz J, Feldman MA, Bass EB. Injectable versus topical anesthesia for cataract surgery: patient perception of pain and side effects. The study of medical testing for cataract surgery study team. Ophthalmology 2000; 107: 2054-60.
18. Ripart J, Lefrant JY, Vivien B. Ophtalmic regional anesthesia : Medical canthus episcleral (sub-tenon) anesthesia is more efficient than peribulbar anesthesia : A double-blind randomized study. Anesthesiology 2000; 92:1278-85.
19. Cecil Gray. Anestesia General. t. 2. Ciudad de la Habana: Editorial Científico- Técnica; 1986.
20. Hamilton RC. A discourse on the complication of retrobulbar and peribulbar blockade. Can J Ophthalmol 2000; 35: 363-72.
21. Rangel GW, Chona JE, Mauricio L. Bloqueo peribulbar adicionando opiodes en analgesia postoperatoria para cirugía oftálmica. Un ensayo clínico controlado. Medunab 2001; 4(10):1-8.
22. Pannu JS. Peribulbar vs retrobulbar anesthetic techniques. Ophth Surg 1990; 21: 147-149.
23. Kishore K, Agarwal HC, Sood NN, Betharia SM, Sihota R, War CN. Evaluation of peribulbar anesthesia in eye capms. Opth Surg 1990; 21: 566-570.
24. Fry RA, Henderson J. Local anaesthesia for eye surgery. The periocular technique. Anaesthesia 1989; 45: 14-17.
25. Nociti J, Serzedo P, Zuccolotto E. Intraocular pressure and ropivacaine in peribulbar block: A comparative study with bupivacaína. Acta Anesthesiol Scand 2001; 45:600-2.
26. Losada Castillo MJ, Martínez Piñero A, Abreu Reyes A, González La Rosa MA. Variaciones de la presión intraocular tras la anestesia local para la cirugía de la catarata. [En línea] 1998 (fecha de acceso 9 junio de 2004) URL disponible en: http://www.Ofthalmo.com/sco/revista-09/sco04.htm
27. Haberer JP. Les complicationes de la sedatoin et de la premedication en anesthesie ofthalmologie. Opthalmologie 2000 ; 23:9, 901-06.
28. Wolf GL, Goldfarb H. Complications in ophthalmologic anesthesia. Sem Anesth 1990; IX (2):108-118.
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Pérez Calleja L, Pérez Padilla CA, Gonzáles Sánchez E. Peribulbar anesthesia. Our experience. Mediciego [Internet]. 2004 Dec. 4 [cited 2024 Nov. 24];10(2). Available from: https://revmediciego.sld.cu/index.php/mediciego/article/view/2681
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