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18248

Ropivacaine plus lidocaine versus Bupivacaine plus lidocaine for peribulbar double injection regional anesthesia

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Last updated: 30 Jan 2023

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Abstract

Our study was designed to evaluate the efficacy of Ropivacaine 0.75% plus Lidocaine 2% versus Bupivacaine 0.5 % plus lidocaine 2 % to provide peribulbar anaesthesia for cataract surgery .Time to adequate block for surgery, ocular eyelid movement scores at 8 min after block and quality for postoperative analgesia were recorded. Sixty patients are randomly divided into two groups of 30, to receive a peribulbar block with 8 – 10 ml of either Ropivacaine – Lidocaine or Bupivacaine – lidocaine,and 15U Hyaluridase per ml with each combination . There was no difference between the two groups in clinical endpoint , Median time at which the block was adequate to start surgery was 8 min. ( 4-10 min ) in each group . Median eyelid movement scores were similar in both groups, yet the lower potential for systemic toxicity of ropivacaine compared with bupivacaine enables it to be used for surgical anesthesia in higher concentration which may facilitate diffusion of local anesthetic molecules into peripheral nervous tissue, improving the onset of nerve blockade.

DOI

10.21608/ejhm.2003.18248

Authors

First Name

Omar

Last Name

Elsafty

MiddleName

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Affiliation

Departement of anesthesia Ain shams university

Email

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City

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Orcid

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First Name

Ahmed M.S.

Last Name

Hamed

MiddleName

-

Affiliation

Departement of anesthesia Ain shams university

Email

-

City

-

Orcid

-

First Name

Sherif

Last Name

Wadie

MiddleName

-

Affiliation

Departement of anesthesia Ain shams university

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Shoeir

MiddleName

-

Affiliation

Research institute of ophthalmology

Email

-

City

-

Orcid

-

Volume

12

Article Issue

1

Related Issue

3796

Issue Date

2003-04-01

Receive Date

2018-11-02

Publish Date

2003-04-01

Page Start

82

Page End

85

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 12_Issue 1_Pages 82-85.pdf

PDF . 257.3kB

Link

https://ejhm.journals.ekb.eg/article_18248.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=18248

Order

9

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023