Continuous Retrobulbar Block

Continuous Retrobulbar Block

We developed a method for establishing a continuous retrobulbar block by placing a fine catheter through a 20 gauge Atkinson retrobulbar needle in the orbital floor. The hub of the needle was modified to a funnel shape to facilitate passage of the pediatric epidural catheter. This method allowed smo...

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Veröffentlicht in:Nihon Rinshō Masui Gakkai shi 1997/06/15, Vol.17(5), pp.311-315
Hauptverfasser: SUZUKI, Toshiyasu, KINEFUCHI, Yoshio, Fukuyama, Haruo, TAKIGUCHI, Mamoru, YAMAMOTO, Michio, SHIBATA, Akira
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Continuous retrobulbar anesthesia
Fine catheter
Retrobulbar-needle
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container_end_page 315
container_issue 5
container_start_page 311
container_title Nihon Rinshō Masui Gakkai shi
container_volume 17
creator SUZUKI, Toshiyasu
KINEFUCHI, Yoshio
Fukuyama, Haruo
TAKIGUCHI, Mamoru
YAMAMOTO, Michio
SHIBATA, Akira
description We developed a method for establishing a continuous retrobulbar block by placing a fine catheter through a 20 gauge Atkinson retrobulbar needle in the orbital floor. The hub of the needle was modified to a funnel shape to facilitate passage of the pediatric epidural catheter. This method allowed smooth catheter insertion and continuous local anesthethic administra-tion. We used this block with light general anesthesia and obtained satisfactory results. Bradycardia and arrhythmia due to oculo-cardiac reflex were less with this method compar-ed to the cases given general anesthesia alone. We conclude that this method is useful for ophthalmic surgeries such as retinal reattachment and vitrectomy, and the retrobulbar needle we modified for pediatric epidural catheter placement appears to be a safe and effective.
doi_str_mv 10.2199/jjsca.17.311
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1349-9149
language eng
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subjects Continuous retrobulbar anesthesia
Fine catheter
Retrobulbar-needle
title Continuous Retrobulbar Block
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