Sedation in peribulbar block cataract surgery. Senile cataract, unspecified
Conditions
Interventions
Intervention 1: Intervention group (group pk): A minidose of lidocaine (10mg) for local anesthesia of the vein endothelium was injected through the Intravenous catheter 1 min before the injection of
maximal dose 2 mg) or fentanyl (50 mg/ mL
maximal dose 2 mL) could be administered to keep the patient comfortable but awake and responsive.
Treatment - Drugs
Intervention group (group pk): A minidose of lidocaine (10mg) for local anesthesia of the vein endothelium was injected through the Intravenous catheter 1 min before the injection of propofol. The as
Control group(group mf):The patients
received either 1 microg/kg of
fentanyl and 0.02 mg/kg of midazolam by bolus IV injection 1 minute before
the administration of a PRBB.
At the discretion
maximal dose 2 mL) could be administered to keep the patient comfortable but awake and responsive
Sponsors
Vice chancellor for Research, Tehran University of Medical Sciences and Health Services
Eligibility
Sex/Gender
All
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: Inclusion creteria: ASA 1-3; patients older than 60 yr of age (max 80 yr) undergoing cataract extraction and intraocular lens implantation on an ambulatory surgery. Patients were excluded if: they weighed 150% of their ideal body weight; had ischemic heart disease; had uncontrolled hypertension (systolic/diastolic blood pressure 180/ 110 mm Hg) or had a history of allergy to ketamine, propofol, or local anesthetic drugs; had a history of psychiatric disorders; suffered memory or cognitive dysfunction; had ingested a opoids, tranquilizer or psychoactive drug within 2 wk of surgery.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient satisfaction. Timepoint: 3 to 5 min after injection. Method of measurement: Question.;Quality of sedation. Timepoint: During injection. Method of measurement: Scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic (systolic, diastolic and mean BP, heart rate). Timepoint: 1 min after sedation and 3 min after injection. Method of measurement: Automated hemodynamic monitoring , electrocardiogram.;Spo2. Timepoint: 1-min after sedation and at 3 min after injection PBB. Method of measurement: Pulse oximeter.;Degree of respiratory depression. Timepoint: 1-min after sedation and at 3 min after injection PBB. Method of measurement: Table of score.;Air way intervention. Timepoint: 1-min after sedation and at 3 min after injection PBB. Method of measurement: Table of score.;Side effects of drugs. Timepoint: During operation. Method of measurement: Record. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAbbas Ostadalipour
Tehran University of Medical Sceinces
Outcome results
None listed