| Autor: |
H, Clausel, L, Touffet, M, Havaux, M, Lamard, J, Savean, B, Cochener, C, Arvieux, G, Gueret |
| Jazyk: |
francouzština |
| Rok vydání: |
2008 |
| Předmět: |
|
| Zdroj: |
Journal francais d'ophtalmologie. 31(8) |
| ISSN: |
1773-0597 |
| Popis: |
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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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