Peribulbar block in adult patients undergoing posterior segment surgeries..
Conditions
Interventions
Intervention 1: Control group (GC) received peribulbar anesthesia with a local anesthetic mixture composed of lidocaine 2% (4.5 ml), plain bupivacaine 0.5% (4.5 ml), 1 ml of normal saline, and hyaluro
Sponsors
Research Institute of Ophthalmology
Eligibility
Sex/Gender
All
Age
45 Years to 65 Years
Inclusion criteria
Inclusion criteria: Posterior segment operations American Society of Anesthesiologist (ASA) physical status I or II Age: 45-65 years Axial length: < 25 mm
Exclusion criteria
Exclusion criteria: Coagulation abnormalities Impaired mental status Allergy to any of the study medications Problems that interfere with surgeon patient communication and cooperation as deafness Severe cardiac disease, chronic obstructive lung disease, history of sleep apnea, advanced liver or kidney disease History of chronic use of sedatives, narcotics, alcohol or drug abuse Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The onset of sensory block. Timepoint: At 1, 2, 3, 4, and 5 min after the block. Method of measurement: A small piece of cotton wool.;The onset of globe akinesia. Timepoint: At 1, 3, 5, 7, and 10 min after the block. Method of measurement: The 3-point scale.;The Duration of lid akinesia. Timepoint: At 1, 2, 3, 4, and 5 h postoperative. Method of measurement: Clinical assessment of regaining full movement.;The duration of globe akinesia. Timepoint: At 1, 2, 3, 4, and 5 h postoperative. Method of measurement: Clinical assessment of regaining full movement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient satisfaction. Timepoint: After recovery. Method of measurement: 7-point Likert-like verbal rating scale.;Surgeon satisfaction. Timepoint: At the end of surgery. Method of measurement: The 7-point Likert-like verbal rating scale.;The duration of analgesia. Timepoint: At 1, 2, 3, 4, and 5 h postoperative. Method of measurement: The 10-point Visual Analog Scale.;The intraocular pressure. Timepoint: At baseline and 10 minutes after injection of the local anesthetics. Method of measurement: Schiotz tonometer.;Time to start surgery. Timepoint: At 1, 3, 5, 7, and 10 min after the block. Method of measurement: Corneal anesthesia together with an ocular movement score =1 in each direction and an eyelid akinesia score of 0 (total score <5). | — |
Countries
Egypt
Contacts
Public ContactDr. Eslam Saleh
Research Institute of Ophthalmology
Outcome results
None listed