Peribulbar anesthesia: efficacy of a single injection with a limited local anesthetic volume
Cataract surgery can be performed with peribulbar anesthesia. The classical technique consists of two injections of local anesthetics. The purpose of our study was to assess peribulbar anesthesia with a single injection and a limited volume of local anesthetics. After local ethics committee agreemen...
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| Veröffentlicht in: | Journal francais d'ophtalmologie 2008-10, Vol.31 (8), p.781 |
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| container_title | Journal francais d'ophtalmologie |
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| creator | Clausel, H Touffet, L Havaux, M Lamard, M Savean, J Cochener, B Arvieux, C Gueret, G |
| description | Cataract surgery can be performed with peribulbar anesthesia. The classical technique consists of two injections of local anesthetics. The purpose of our study was to assess peribulbar anesthesia with a single injection and a limited volume of local anesthetics.
After local ethics committee agreement and oral consent, patients scheduled for cataract surgery using peribulbar anesthesia were prospectively included. The lower temporal puncture was performed with a peribulbar needle with propofol sedation. The mixture of local anesthetics was administered with tactile control of orbital pressure. The puncture was followed by a 10-min compression of the ocular globe. Akinesia, analgesia, complications, and surgical conditions were noted.
A total of 101 successive patients were included. We administered 1.2 mg/kg of propofol. The volume of local anesthetics administered was 5.0 +/- 0.9 ml. Ninety patients had akinesia at 10 min and 6.7% moderate chemosis. No puncture complication occurred. At the end of surgery, the pain noted by the patients was 0.4 +/- 2.1 out of 100 (range, 0-10). Surgical conditions were good for all patients.
Peribulbar anesthesia performed with a single injection and a limited volume of local anesthetics allows cataract surgery in good conditions for the surgeon with very good analgesia for the patient. |
| doi_str_mv | 10.1016/S0181-5512(08)74397-3 |
| format | Article |
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After local ethics committee agreement and oral consent, patients scheduled for cataract surgery using peribulbar anesthesia were prospectively included. The lower temporal puncture was performed with a peribulbar needle with propofol sedation. The mixture of local anesthetics was administered with tactile control of orbital pressure. The puncture was followed by a 10-min compression of the ocular globe. Akinesia, analgesia, complications, and surgical conditions were noted.
A total of 101 successive patients were included. We administered 1.2 mg/kg of propofol. The volume of local anesthetics administered was 5.0 +/- 0.9 ml. Ninety patients had akinesia at 10 min and 6.7% moderate chemosis. No puncture complication occurred. At the end of surgery, the pain noted by the patients was 0.4 +/- 2.1 out of 100 (range, 0-10). Surgical conditions were good for all patients.
Peribulbar anesthesia performed with a single injection and a limited volume of local anesthetics allows cataract surgery in good conditions for the surgeon with very good analgesia for the patient.</description><identifier>EISSN: 1773-0597</identifier><identifier>DOI: 10.1016/S0181-5512(08)74397-3</identifier><identifier>PMID: 19107044</identifier><language>fre</language><publisher>France</publisher><subject>Aged ; Amides - administration & dosage ; Amides - pharmacology ; Anesthetics, Local - administration & dosage ; Anesthetics, Local - pharmacology ; Cataract Extraction ; Dose-Response Relationship, Drug ; Drug Combinations ; Female ; Humans ; Hypnotics and Sedatives - administration & dosage ; Hypnotics and Sedatives - adverse effects ; Hypotension - chemically induced ; Injections ; Intraocular Pressure - drug effects ; Male ; Mepivacaine - administration & dosage ; Mepivacaine - pharmacology ; Middle Aged ; Nerve Block - adverse effects ; Nerve Block - methods ; Propofol - administration & dosage ; Propofol - adverse effects ; Prospective Studies</subject><ispartof>Journal francais d'ophtalmologie, 2008-10, Vol.31 (8), p.781</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19107044$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clausel, H</creatorcontrib><creatorcontrib>Touffet, L</creatorcontrib><creatorcontrib>Havaux, M</creatorcontrib><creatorcontrib>Lamard, M</creatorcontrib><creatorcontrib>Savean, J</creatorcontrib><creatorcontrib>Cochener, B</creatorcontrib><creatorcontrib>Arvieux, C</creatorcontrib><creatorcontrib>Gueret, G</creatorcontrib><title>Peribulbar anesthesia: efficacy of a single injection with a limited local anesthetic volume</title><title>Journal francais d'ophtalmologie</title><addtitle>J Fr Ophtalmol</addtitle><description>Cataract surgery can be performed with peribulbar anesthesia. The classical technique consists of two injections of local anesthetics. The purpose of our study was to assess peribulbar anesthesia with a single injection and a limited volume of local anesthetics.
After local ethics committee agreement and oral consent, patients scheduled for cataract surgery using peribulbar anesthesia were prospectively included. The lower temporal puncture was performed with a peribulbar needle with propofol sedation. The mixture of local anesthetics was administered with tactile control of orbital pressure. The puncture was followed by a 10-min compression of the ocular globe. Akinesia, analgesia, complications, and surgical conditions were noted.
A total of 101 successive patients were included. We administered 1.2 mg/kg of propofol. The volume of local anesthetics administered was 5.0 +/- 0.9 ml. Ninety patients had akinesia at 10 min and 6.7% moderate chemosis. No puncture complication occurred. At the end of surgery, the pain noted by the patients was 0.4 +/- 2.1 out of 100 (range, 0-10). Surgical conditions were good for all patients.
Peribulbar anesthesia performed with a single injection and a limited volume of local anesthetics allows cataract surgery in good conditions for the surgeon with very good analgesia for the patient.</description><subject>Aged</subject><subject>Amides - administration & dosage</subject><subject>Amides - pharmacology</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Anesthetics, Local - pharmacology</subject><subject>Cataract Extraction</subject><subject>Dose-Response Relationship, Drug</subject><subject>Drug Combinations</subject><subject>Female</subject><subject>Humans</subject><subject>Hypnotics and Sedatives - administration & dosage</subject><subject>Hypnotics and Sedatives - adverse effects</subject><subject>Hypotension - chemically induced</subject><subject>Injections</subject><subject>Intraocular Pressure - drug effects</subject><subject>Male</subject><subject>Mepivacaine - administration & dosage</subject><subject>Mepivacaine - pharmacology</subject><subject>Middle Aged</subject><subject>Nerve Block - adverse effects</subject><subject>Nerve Block - methods</subject><subject>Propofol - administration & dosage</subject><subject>Propofol - adverse effects</subject><subject>Prospective Studies</subject><issn>1773-0597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j1tLAzEUhIMgttT-BCWP-rB6TrK5rG9SvEFBQX0TSpI9sZHsbtndKv33FrRPA8N8wwxjZwhXCKivXwEtFkqhuAB7aUpZmUIesSkaIwtQlZmw-TAkD1hpYfa5EzbBCsFAWU7Zxwv1yW-zdz13LQ3jmobkbjjFmIILO95F7viQ2s9MPLVfFMbUtfwnjeu9n1OTRqp57oLLB35MgX93edvQKTuOLg80_9cZe7-_e1s8Fsvnh6fF7bLYoKzGQpXB63q_tJK1rskqH0TQwgKC1FEB1sqYUgTSzhphMZCwMkZPEYDQSzlj53-9m61vqF5t-tS4frc63JS_USJVMg</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Clausel, H</creator><creator>Touffet, L</creator><creator>Havaux, M</creator><creator>Lamard, M</creator><creator>Savean, J</creator><creator>Cochener, B</creator><creator>Arvieux, C</creator><creator>Gueret, G</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>200810</creationdate><title>Peribulbar anesthesia: efficacy of a single injection with a limited local anesthetic volume</title><author>Clausel, H ; Touffet, L ; Havaux, M ; Lamard, M ; Savean, J ; Cochener, B ; Arvieux, C ; Gueret, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-54cb6d59793d6de85bc2c62801036f501d57742ce6a87281ce283ffbef00e1b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Amides - administration & dosage</topic><topic>Amides - pharmacology</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Anesthetics, Local - pharmacology</topic><topic>Cataract Extraction</topic><topic>Dose-Response Relationship, Drug</topic><topic>Drug Combinations</topic><topic>Female</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - administration & dosage</topic><topic>Hypnotics and Sedatives - adverse effects</topic><topic>Hypotension - chemically induced</topic><topic>Injections</topic><topic>Intraocular Pressure - drug effects</topic><topic>Male</topic><topic>Mepivacaine - administration & dosage</topic><topic>Mepivacaine - pharmacology</topic><topic>Middle Aged</topic><topic>Nerve Block - adverse effects</topic><topic>Nerve Block - methods</topic><topic>Propofol - administration & dosage</topic><topic>Propofol - adverse effects</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clausel, H</creatorcontrib><creatorcontrib>Touffet, L</creatorcontrib><creatorcontrib>Havaux, M</creatorcontrib><creatorcontrib>Lamard, M</creatorcontrib><creatorcontrib>Savean, J</creatorcontrib><creatorcontrib>Cochener, B</creatorcontrib><creatorcontrib>Arvieux, C</creatorcontrib><creatorcontrib>Gueret, G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Journal francais d'ophtalmologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clausel, H</au><au>Touffet, L</au><au>Havaux, M</au><au>Lamard, M</au><au>Savean, J</au><au>Cochener, B</au><au>Arvieux, C</au><au>Gueret, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peribulbar anesthesia: efficacy of a single injection with a limited local anesthetic volume</atitle><jtitle>Journal francais d'ophtalmologie</jtitle><addtitle>J Fr Ophtalmol</addtitle><date>2008-10</date><risdate>2008</risdate><volume>31</volume><issue>8</issue><spage>781</spage><pages>781-</pages><eissn>1773-0597</eissn><abstract>Cataract surgery can be performed with peribulbar anesthesia. The classical technique consists of two injections of local anesthetics. The purpose of our study was to assess peribulbar anesthesia with a single injection and a limited volume of local anesthetics.
After local ethics committee agreement and oral consent, patients scheduled for cataract surgery using peribulbar anesthesia were prospectively included. The lower temporal puncture was performed with a peribulbar needle with propofol sedation. The mixture of local anesthetics was administered with tactile control of orbital pressure. The puncture was followed by a 10-min compression of the ocular globe. Akinesia, analgesia, complications, and surgical conditions were noted.
A total of 101 successive patients were included. We administered 1.2 mg/kg of propofol. The volume of local anesthetics administered was 5.0 +/- 0.9 ml. Ninety patients had akinesia at 10 min and 6.7% moderate chemosis. No puncture complication occurred. At the end of surgery, the pain noted by the patients was 0.4 +/- 2.1 out of 100 (range, 0-10). Surgical conditions were good for all patients.
Peribulbar anesthesia performed with a single injection and a limited volume of local anesthetics allows cataract surgery in good conditions for the surgeon with very good analgesia for the patient.</abstract><cop>France</cop><pmid>19107044</pmid><doi>10.1016/S0181-5512(08)74397-3</doi></addata></record> |
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| identifier | EISSN: 1773-0597 |
| ispartof | Journal francais d'ophtalmologie, 2008-10, Vol.31 (8), p.781 |
| issn | 1773-0597 |
| language | fre |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Amides - administration & dosage Amides - pharmacology Anesthetics, Local - administration & dosage Anesthetics, Local - pharmacology Cataract Extraction Dose-Response Relationship, Drug Drug Combinations Female Humans Hypnotics and Sedatives - administration & dosage Hypnotics and Sedatives - adverse effects Hypotension - chemically induced Injections Intraocular Pressure - drug effects Male Mepivacaine - administration & dosage Mepivacaine - pharmacology Middle Aged Nerve Block - adverse effects Nerve Block - methods Propofol - administration & dosage Propofol - adverse effects Prospective Studies |
| title | Peribulbar anesthesia: efficacy of a single injection with a limited local anesthetic volume |
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