Outcome of combined peribulbar
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 litt...
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2016-10-01
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doaj-dc356f000e8941faa18aab53bd3e88822020-11-24T22:20:28ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492016-10-0132454955310.1016/j.egja.2016.08.008Outcome of combined peribulbarPedro Leão0Diogo Castro1Marcos Pacheco2José C. Soares3Diana Afonso4Anesthesiologist of the Department of Anesthesiology and Pain Medicine, Centro Hospitalar de Entre o Douro e Vouga, 4520-211 Santa Maria da Feira, PortugalAnesthesiologist of the Department of Anesthesiology and Pain Medicine, Centro Hospitalar de Entre o Douro e Vouga, 4520-211 Santa Maria da Feira, PortugalAnesthesiologist of the Department of Anesthesiology and Pain Medicine, Centro Hospitalar de Entre o Douro e Vouga, 4520-211 Santa Maria da Feira, PortugalAnesthesiologist at the Department of Anesthesiology, Centro Hospitalar Póvoa de Varzim – Vila do Conde, 4480 Vila do Conde, PortugalAnesthesiologist of the Department of Anesthesiology and Pain Medicine, Centro Hospitalar de Entre o Douro e Vouga, 4520-211 Santa Maria da Feira, PortugalBackground: 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. This prospective randomized clinical study evaluated the effect and feasibility of peribulbar block when used in conjunction with general anesthesia on perioperative outcome. Methods: 98 patients, ASA II-III, were randomly allocated to one of two groups to receive either peribulbar block in conjunction with general anesthesia (n = 49) or general anesthesia alone (n = 49). Parameters compared were incidence of OCR, surgical bleeding, duration of surgery, postoperative pain and patient‘s satisfaction. Results and discussion: Patients with PB block had a significantly lower incidence of intraoperative OCR (n = 4 vs. n = 13, p < 0.05). It also provided more effective post-operative analgesia with fewer patients requiring rescue analgesia medication (n = 19 vs. n = 27; p = 0.105). Surgical bleeding was more profuse in the general anesthesia group (n = 5 vs. n = 27, p < 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.http://www.sciencedirect.com/science/article/pii/S1110184916300721Peribulbar blockRetinal detachment surgeryPostoperative painSurgical bleedingPerioperative outcome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pedro Leão Diogo Castro Marcos Pacheco José C. Soares Diana Afonso |
spellingShingle |
Pedro Leão Diogo Castro Marcos Pacheco José C. Soares Diana Afonso Outcome of combined peribulbar Egyptian Journal of Anaesthesia Peribulbar block Retinal detachment surgery Postoperative pain Surgical bleeding Perioperative outcome |
author_facet |
Pedro Leão Diogo Castro Marcos Pacheco José C. Soares Diana Afonso |
author_sort |
Pedro Leão |
title |
Outcome of combined peribulbar |
title_short |
Outcome of combined peribulbar |
title_full |
Outcome of combined peribulbar |
title_fullStr |
Outcome of combined peribulbar |
title_full_unstemmed |
Outcome of combined peribulbar |
title_sort |
outcome of combined peribulbar |
publisher |
Taylor & Francis Group |
series |
Egyptian Journal of Anaesthesia |
issn |
1110-1849 |
publishDate |
2016-10-01 |
description |
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.
This prospective randomized clinical study evaluated the effect and feasibility of peribulbar block when used in conjunction with general anesthesia on perioperative outcome.
Methods: 98 patients, ASA II-III, were randomly allocated to one of two groups to receive either peribulbar block in conjunction with general anesthesia (n = 49) or general anesthesia alone (n = 49).
Parameters compared were incidence of OCR, surgical bleeding, duration of surgery, postoperative pain and patient‘s satisfaction.
Results and discussion: Patients with PB block had a significantly lower incidence of intraoperative OCR (n = 4 vs. n = 13, p < 0.05). It also provided more effective post-operative analgesia with fewer patients requiring rescue analgesia medication (n = 19 vs. n = 27; p = 0.105). Surgical bleeding was more profuse in the general anesthesia group (n = 5 vs. n = 27, p < 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. |
topic |
Peribulbar block Retinal detachment surgery Postoperative pain Surgical bleeding Perioperative outcome |
url |
http://www.sciencedirect.com/science/article/pii/S1110184916300721 |
work_keys_str_mv |
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