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Outcome of combined peribulbar ropivacaine 0.75% block and general anesthesia for retinal detachment surgery: A randomized controlled study

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Last updated: 31 Dec 2024

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Abstract

Background
Retinal detachment surgery (RDS) is frequently associated with a high incidence of significant perioperative pain and oculocardiac reflex (OCR) intra-operatively. The peribulbar block has gained wide acceptance in ophthalmic anesthetic practice in the recent times. However, there is little current knowledge regarding its efficacy in RDS.
Methods
98 patients, ASA II-III, were randomly allocated to one of two groups to receive either peribulbar block in conjunction with general anesthesia ( = 49) or general anesthesia alone ( = 49).
Results and discussion
Patients with PB block had a significantly lower incidence of intraoperative OCR ( = 4 vs.  = 13,  < 0.05). It also provided more effective post-operative analgesia with fewer patients requiring rescue analgesia medication ( = 19 vs.  = 27;  = 0.105). Surgical bleeding was more profuse in the general anesthesia group ( = 5 vs.  = 27,  < 0.001), with no cases of bleeding interfering with surgery in the peribulbar group.
Conclusions
PB block combined with GA improved significantly operating conditions and lower incidence of OCR. Patients in the block group also had better postoperative analgesia.

DOI

10.1016/j.egja.2016.08.008

Authors

First Name

Pedro

Last Name

Leão

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City

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Orcid

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First Name

Diogo

Last Name

Castro

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Marcos

Last Name

Pacheco

MiddleName

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Affiliation

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Email

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Orcid

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First Name

José C.

Last Name

Soares

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Diana

Last Name

Afonso

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

32

Article Issue

4

Related Issue

51197

Issue Date

2016-10-01

Receive Date

2016-02-06

Publish Date

2016-10-01

Page Start

549

Page End

553

Print ISSN

1110-1849

Online ISSN

1687-1804

Link

https://egja.journals.ekb.eg/article_388469.html

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https://egja.journals.ekb.eg/service?article_code=388469

Order

388,469

Publication Type

Journal

Publication Title

Egyptian Journal of Anaesthesia

Publication Link

https://egja.journals.ekb.eg/

MainTitle

Outcome of combined peribulbar ropivacaine 0.75% block and general anesthesia for retinal detachment surgery: A randomized controlled study

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Article

Created At

21 Dec 2024