Effect of adding clonidine to lidocaine on ocular hemodynamics during sub-Tenon’s anesthesia: randomized double-blind study
| Autor: | Renato Santiago Gomez, Angela Maria Sousa, Sigmar Aurea Cabral, Antonio Roberto Carraretto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Intraocular pressure
Lidocaine genetic structures medicine.medical_treatment Hemodynamics Ocular pulse amplitude Clonidine Cataract surgery Double blind study Double-Blind Method Anesthesiology Medicine Humans RD78.3-87.3 Anesthetics Local Saline business.industry General Medicine eye diseases Sub-Tenon’s anesthesia Ocular perfusion pressure Anesthesia Anesthetic sense organs business medicine.drug Anesthesia Local |
| Zdroj: | Brazilian Journal of Anesthesiology, Volume: 71, Issue: 6, Pages: 628-634, Published: 25 OCT 2021 Brazilian Journal of Anesthesiology, Issue: ahead, Published: 25 OCT 2021 Brazilian Journal of Anesthesiology, Vol 71, Iss 6, Pp 628-634 (2021) |
| Popis: | Introduction and objectives Different regional anesthesia techniques for ophthalmology can have hemodynamic effects on the eye. We assessed the effects of adding clonidine to lidocaine on Intraocular Pressure (IOP), Ocular Pulse Amplitude (OPA), and Ocular Perfusion Pressure (OPP) after the sub-Tenon’s technique for cataract surgery. Methods The study included 40 patients randomly allocated into two groups: sub-Tenon’s blockade with Lidocaine plus Saline Solution (LS) or Lidocaine plus Clonidine (LC). IOP, OPA and OPP were measured before anesthesia, and 1, 5 and 10 minutes after the injection of anesthetic solution. Results There was no difference between the groups in IOP, OPA, and OPP baseline values. After the injection of the anesthetic solution, the IOP increased in both groups at minute one, with a mean difference of +4.67 mmHg (p = 0.001) and +2.15 mmHg (p = 0.013) at 5 minutes. The increase was lower in the LC group when compared to LS (p = 0.027). OPA decreased in both groups, with a baseline difference, after 1 minute, of -0.85 mmHg (p = -0.85 mmHg (p = 0.001), and at 5 and 10 minutes with differences of -1.17 (p = 0.001) and -0.89 mmHg (p = 0.001), respectively. The highest decrease was observed in group LC in relation to group LS (p = 0.03). There was no difference in OPP in relation to baseline measurements. Conclusions Adding clonidine to lidocaine for sub-Tenon’s anesthesia reduced IOP and OPA without significant changes in OPP. |
| Databáze: | OpenAIRE |
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