Comparison of Topical Anesthesia, Intracameral 1% Lignocaine and Topical Anesthesia and Intravenous Acetaminophen and Topical Anesthesia for Phacoemulsification in Cataract Surgery
Objective: To compare the effectiveness of topical Proparacaine 0.5%, topical Proparacaine 0.5% and topical Proparacaine 0.5% for intraoperative analgesia and surgeon’s score undergoing simple cataract surgery. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaest...
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| Veröffentlicht in: | Pakistan Armed Forces medical journal 2023-08, Vol.73 (SUPPL-2), p.S360-64 |
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| creator | Munir, Ali Arslan Rana, Sumbal Naeem, Saquib Shahid, Muhammad Hussain, Aftab Hussain, Shafqat |
| description | Objective: To compare the effectiveness of topical Proparacaine 0.5%, topical Proparacaine 0.5% and topical Proparacaine 0.5% for intraoperative analgesia and surgeon’s score undergoing simple cataract surgery.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesia, Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan,from Sep 2022 to Mar 2023.
Methodology: Sixty patients aged 40 years and more, ASA-l and ll, undergoing elective simple cataract surgeries were observed by taking 20 patients in all three groups (n=20). Group-T: Topical Anesthesia group, 0.5% Proparacaine Group-I: Topical Anesthesia & Intracameral 1% Lignocaine Group-A: Topical Anesthesia and IV Acetaminophen groups were randomly allocated for pretreatment to either receive the 0.5% Proparacaine Eye drops (Group-T) or 0.5%Proparacaine eye drops with Intracameral 1ml 1% Lignocaine (I group) or 0.5% Proparacaine Eye drops with intravenous Acetaminophen 15ml/kg (A group). Incidence of pain by Visual analogue scale/wong-baker faces scale was noted. The surgeon’s comfort was assessed by using Gupta’s surgeon score questionnaire.
Results: The results showed Group-I had better analgesic score than Group-T with only 1(5%) patient had a score of 4 but even more significant efficacy of intravenous acetaminophen plus topical anesthesia (Group-A) was shown as compared to rest of the groups with none (0%) patient had a VAS score of 4 (p-value=0.002). The results also showed Group-I had better surgeon comfort score than both Group-T and Group-A, with only 1(5%) patient had a score of 7 or above as compared to Group-T, 9(45%) patients and Group-A 7(35%) patients. (p-value=0.005).
Conclusion: Intravenous acetaminophen plus topical
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| doi_str_mv | 10.51253/pafmj.v73iSUPPL-2.10086 |
| format | Article |
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Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesia, Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan,from Sep 2022 to Mar 2023.
Methodology: Sixty patients aged 40 years and more, ASA-l and ll, undergoing elective simple cataract surgeries were observed by taking 20 patients in all three groups (n=20). Group-T: Topical Anesthesia group, 0.5% Proparacaine Group-I: Topical Anesthesia & Intracameral 1% Lignocaine Group-A: Topical Anesthesia and IV Acetaminophen groups were randomly allocated for pretreatment to either receive the 0.5% Proparacaine Eye drops (Group-T) or 0.5%Proparacaine eye drops with Intracameral 1ml 1% Lignocaine (I group) or 0.5% Proparacaine Eye drops with intravenous Acetaminophen 15ml/kg (A group). Incidence of pain by Visual analogue scale/wong-baker faces scale was noted. The surgeon’s comfort was assessed by using Gupta’s surgeon score questionnaire.
Results: The results showed Group-I had better analgesic score than Group-T with only 1(5%) patient had a score of 4 but even more significant efficacy of intravenous acetaminophen plus topical anesthesia (Group-A) was shown as compared to rest of the groups with none (0%) patient had a VAS score of 4 (p-value=0.002). The results also showed Group-I had better surgeon comfort score than both Group-T and Group-A, with only 1(5%) patient had a score of 7 or above as compared to Group-T, 9(45%) patients and Group-A 7(35%) patients. (p-value=0.005).
Conclusion: Intravenous acetaminophen plus topical
</description><identifier>ISSN: 0030-9648</identifier><identifier>EISSN: 2411-8842</identifier><identifier>DOI: 10.51253/pafmj.v73iSUPPL-2.10086</identifier><language>eng</language><publisher>Rawalpindi: Knowledge Bylanes</publisher><subject>Acetaminophen ; Analgesics ; Anesthesia ; Care and treatment ; Cataract ; Cataracts ; Comparative analysis ; Cooperation ; Dexmedetomidine ; Drug dosages ; Eye surgery ; Narcotics ; Pain ; Pain management ; Patient compliance ; Patient satisfaction ; Perioperative care ; Questionnaires ; Surgeons ; Surgery ; Toxicity ; Vomiting</subject><ispartof>Pakistan Armed Forces medical journal, 2023-08, Vol.73 (SUPPL-2), p.S360-64</ispartof><rights>COPYRIGHT 2023 Knowledge Bylanes</rights><rights>(c)2023 Pakistan Armed Forces Medical Journal</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,866,27931,27932</link.rule.ids></links><search><creatorcontrib>Munir, Ali Arslan</creatorcontrib><creatorcontrib>Rana, Sumbal</creatorcontrib><creatorcontrib>Naeem, Saquib</creatorcontrib><creatorcontrib>Shahid, Muhammad</creatorcontrib><creatorcontrib>Hussain, Aftab</creatorcontrib><creatorcontrib>Hussain, Shafqat</creatorcontrib><title>Comparison of Topical Anesthesia, Intracameral 1% Lignocaine and Topical Anesthesia and Intravenous Acetaminophen and Topical Anesthesia for Phacoemulsification in Cataract Surgery</title><title>Pakistan Armed Forces medical journal</title><description>Objective: To compare the effectiveness of topical Proparacaine 0.5%, topical Proparacaine 0.5% and topical Proparacaine 0.5% for intraoperative analgesia and surgeon’s score undergoing simple cataract surgery.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesia, Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan,from Sep 2022 to Mar 2023.
Methodology: Sixty patients aged 40 years and more, ASA-l and ll, undergoing elective simple cataract surgeries were observed by taking 20 patients in all three groups (n=20). Group-T: Topical Anesthesia group, 0.5% Proparacaine Group-I: Topical Anesthesia & Intracameral 1% Lignocaine Group-A: Topical Anesthesia and IV Acetaminophen groups were randomly allocated for pretreatment to either receive the 0.5% Proparacaine Eye drops (Group-T) or 0.5%Proparacaine eye drops with Intracameral 1ml 1% Lignocaine (I group) or 0.5% Proparacaine Eye drops with intravenous Acetaminophen 15ml/kg (A group). Incidence of pain by Visual analogue scale/wong-baker faces scale was noted. The surgeon’s comfort was assessed by using Gupta’s surgeon score questionnaire.
Results: The results showed Group-I had better analgesic score than Group-T with only 1(5%) patient had a score of 4 but even more significant efficacy of intravenous acetaminophen plus topical anesthesia (Group-A) was shown as compared to rest of the groups with none (0%) patient had a VAS score of 4 (p-value=0.002). The results also showed Group-I had better surgeon comfort score than both Group-T and Group-A, with only 1(5%) patient had a score of 7 or above as compared to Group-T, 9(45%) patients and Group-A 7(35%) patients. (p-value=0.005).
Conclusion: Intravenous acetaminophen plus topical
</description><subject>Acetaminophen</subject><subject>Analgesics</subject><subject>Anesthesia</subject><subject>Care and treatment</subject><subject>Cataract</subject><subject>Cataracts</subject><subject>Comparative analysis</subject><subject>Cooperation</subject><subject>Dexmedetomidine</subject><subject>Drug dosages</subject><subject>Eye surgery</subject><subject>Narcotics</subject><subject>Pain</subject><subject>Pain management</subject><subject>Patient compliance</subject><subject>Patient satisfaction</subject><subject>Perioperative care</subject><subject>Questionnaires</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Toxicity</subject><subject>Vomiting</subject><issn>0030-9648</issn><issn>2411-8842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kdtqGzEQhkVpoSbNOwhK77qupF0d9tKYHgKGGpJci7EOtoxX2kq7gbxXHzDqprQUUulCMPN_Mz_6EcKUrDllvP00gh_O6wfZhtv7_X7XsDUlRIlXaMU6ShulOvYarQhpSdOLTr1F16WcST28ZR3hK_Rzm4YRcigp4uTxXRqDgQveRFemkysBPuKbOGUwMLhcG_QD3oVjTAZCdBiifQFZygv14GKaC94YN8EQYhpPLv4P8inj_QlMcsN8KcHX_hSqqxDxFiaoFiZ8O-ejy4_v0BsPl-Kuf79X6P7L57vtt2b3_evNdrNrDKPd1HTMdz2XnHBquQWjgPc945Q4A9Y6SzmIw0FZ1wthqTGC0AOIngmjbCtU116h989zx5x-zNWpPqc5x7pSMyUZlXVy_1d1hIvTIfr067-GUIzeSCEloZLKqlq_oKrXuiGYFJ0Ptf4PoJ4Bk1Mp2Xk95jBAftSU6CV9vaSv_6SvmV7Sb58A6UGoRQ</recordid><startdate>20230831</startdate><enddate>20230831</enddate><creator>Munir, Ali Arslan</creator><creator>Rana, Sumbal</creator><creator>Naeem, Saquib</creator><creator>Shahid, Muhammad</creator><creator>Hussain, Aftab</creator><creator>Hussain, Shafqat</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20230831</creationdate><title>Comparison of Topical Anesthesia, Intracameral 1% Lignocaine and Topical Anesthesia and Intravenous Acetaminophen and Topical Anesthesia for Phacoemulsification in Cataract Surgery</title><author>Munir, Ali Arslan ; Rana, Sumbal ; Naeem, Saquib ; Shahid, Muhammad ; Hussain, Aftab ; Hussain, Shafqat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c214t-42f49575051d5dac8a5992510ecadded15a6bb8de966d1cc601ba6926c8d36843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acetaminophen</topic><topic>Analgesics</topic><topic>Anesthesia</topic><topic>Care and treatment</topic><topic>Cataract</topic><topic>Cataracts</topic><topic>Comparative analysis</topic><topic>Cooperation</topic><topic>Dexmedetomidine</topic><topic>Drug dosages</topic><topic>Eye surgery</topic><topic>Narcotics</topic><topic>Pain</topic><topic>Pain management</topic><topic>Patient compliance</topic><topic>Patient satisfaction</topic><topic>Perioperative care</topic><topic>Questionnaires</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Toxicity</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Munir, Ali Arslan</creatorcontrib><creatorcontrib>Rana, Sumbal</creatorcontrib><creatorcontrib>Naeem, Saquib</creatorcontrib><creatorcontrib>Shahid, Muhammad</creatorcontrib><creatorcontrib>Hussain, Aftab</creatorcontrib><creatorcontrib>Hussain, Shafqat</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Pakistan Armed Forces medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Munir, Ali Arslan</au><au>Rana, Sumbal</au><au>Naeem, Saquib</au><au>Shahid, Muhammad</au><au>Hussain, Aftab</au><au>Hussain, Shafqat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Topical Anesthesia, Intracameral 1% Lignocaine and Topical Anesthesia and Intravenous Acetaminophen and Topical Anesthesia for Phacoemulsification in Cataract Surgery</atitle><jtitle>Pakistan Armed Forces medical journal</jtitle><date>2023-08-31</date><risdate>2023</risdate><volume>73</volume><issue>SUPPL-2</issue><spage>S360</spage><epage>64</epage><pages>S360-64</pages><issn>0030-9648</issn><eissn>2411-8842</eissn><abstract>Objective: To compare the effectiveness of topical Proparacaine 0.5%, topical Proparacaine 0.5% and topical Proparacaine 0.5% for intraoperative analgesia and surgeon’s score undergoing simple cataract surgery.
Study Design: Quasi-experimental study.
Place and Duration of Study: Department of Anaesthesia, Armed Forces Institute of Ophthalmology, Rawalpindi Pakistan,from Sep 2022 to Mar 2023.
Methodology: Sixty patients aged 40 years and more, ASA-l and ll, undergoing elective simple cataract surgeries were observed by taking 20 patients in all three groups (n=20). Group-T: Topical Anesthesia group, 0.5% Proparacaine Group-I: Topical Anesthesia & Intracameral 1% Lignocaine Group-A: Topical Anesthesia and IV Acetaminophen groups were randomly allocated for pretreatment to either receive the 0.5% Proparacaine Eye drops (Group-T) or 0.5%Proparacaine eye drops with Intracameral 1ml 1% Lignocaine (I group) or 0.5% Proparacaine Eye drops with intravenous Acetaminophen 15ml/kg (A group). Incidence of pain by Visual analogue scale/wong-baker faces scale was noted. The surgeon’s comfort was assessed by using Gupta’s surgeon score questionnaire.
Results: The results showed Group-I had better analgesic score than Group-T with only 1(5%) patient had a score of 4 but even more significant efficacy of intravenous acetaminophen plus topical anesthesia (Group-A) was shown as compared to rest of the groups with none (0%) patient had a VAS score of 4 (p-value=0.002). The results also showed Group-I had better surgeon comfort score than both Group-T and Group-A, with only 1(5%) patient had a score of 7 or above as compared to Group-T, 9(45%) patients and Group-A 7(35%) patients. (p-value=0.005).
Conclusion: Intravenous acetaminophen plus topical
</abstract><cop>Rawalpindi</cop><pub>Knowledge Bylanes</pub><doi>10.51253/pafmj.v73iSUPPL-2.10086</doi><oa>free_for_read</oa></addata></record> |
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| ispartof | Pakistan Armed Forces medical journal, 2023-08, Vol.73 (SUPPL-2), p.S360-64 |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Acetaminophen Analgesics Anesthesia Care and treatment Cataract Cataracts Comparative analysis Cooperation Dexmedetomidine Drug dosages Eye surgery Narcotics Pain Pain management Patient compliance Patient satisfaction Perioperative care Questionnaires Surgeons Surgery Toxicity Vomiting |
| title | Comparison of Topical Anesthesia, Intracameral 1% Lignocaine and Topical Anesthesia and Intravenous Acetaminophen and Topical Anesthesia for Phacoemulsification in Cataract Surgery |
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