| Autor: |
E, Falcó-Molmeneu, E, Sorlí-Clemente, F, Ramos-Martí, A, Cabrera-Peset, G, Andrés-Calvo, M, Peris-Molés |
| Rok vydání: |
2007 |
| Předmět: |
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| Zdroj: |
Archivos de la Sociedad Espanola de Oftalmologia. 82(3) |
| ISSN: |
0365-6691 |
| Popis: |
To evaluate peroperative pain management using a flexible spinal anesthesia catheter introduced into the retrobulbar space which allows injections of local anesthetics for vitreoretinal surgery.Twenty-five patients who underwent vitreoretinal surgery receiving retrobulbar anesthesia with 3.5 ml ropivacaine 0.75%. After injection, a catheter with spinal needle 22G x 1 1/2 (40 x 0.7 mm) was introduced to the retrobulbar muscle cone. The needle was withdrawn and the catheter was fixed. When the patient started to feel pain (grade 3 or higher), 2 ml ropivacaine 0.75% was administrated through the catheter during surgery or 2 ml ropivacaine 0.2% in the postoperative period. The catheter was removed 24- 48h later.During surgery, 1 patient (4%) received a re-injection of 2 ml ropivacaine 0.75% because of pain. Three patients (12%) experienced pain of grade 3 or higher in the postoperative period and needed re-injection of 2 ml ropivacaine 0.2%. Re-injections were an effective method to achieve analgesia. Adverse effects were not noticed.The retrobulbar catheter technique is a procedure which allows multiple re-injections of local anesthetics; it provides adequate analgesia during surgery and rapid, effective and safe postoperative pain management. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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