Squint
Conditions
Keywords
squint, muscle traction, pain
Brief summary
Assessing the efficacy of lidocaine gel 2% application 10 minutes before surgery on post operative pain and the use of analgesics postoperatively
Detailed description
After inhalational induction of anesthesia and applying the pulse oximeter to the patient's finger but and before cannulating or managing the patient's airway lidocaine gel 2% is efficiently applied to the surgical eye (to give more time for the gel to act without delaying the surgery) then cannulation and laryngeal mask inserted to maintain ventilation properly. Applying lidocaine gel 2% should be filling the upper and lower 10 minute fornices before disinfecting the eye and starting the surgery The primary outcome is assessing postoperative pain and need for postoperative systemic analgesia The secondary outcome is to monitor the oculocardiac reflex intraoperatively and the need for intraoperative atropine.
Interventions
DRUGlidocaine gel 2%
assessing its efficacy in decreasing muscle traction pain,In the operation room, we started inhalational induction of anesthesia with sevoflurane till the patient is deeply anesthetized. In the experimental group, we applied lidocaine gel 2% abundantly below both eyelids of the surgical eye for at least 3 minutes before the surgical incision, while nothing was applied to patients in the control group.
OTHERcontrol group
In the operation room, we started inhalational induction of anesthesia with sevoflurane till the patient is deeply anesthetized. In control group, we didn't apply lidocaine gel 2% to the operative eye .
Sponsors
Research Institute of Ophthalmology, Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)
Intervention model description
2 group control and xylocaine gel 2% group
Eligibility
Sex/Gender
ALL
Age
2 Years to 13 Years
Healthy volunteers
Yes
Inclusion criteria
* age 3 to 12 years * squint surgery
Exclusion criteria
* below 2 years or more than 13
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain after recovery in PACU using FLACC score (Face, Leg, Activity, Cry, Condolence) | during surgery | FLACC (Face, legs, activity, cry, condolence): each parameter will take a score from 0 to 2 and the total of the 5 parameters is a score of pain ; 0 is for no pain and 10 is maximal pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| oculocardiac reflex occurrence during muscle traction intraoperative | during surgery | bradycardia at muscle traction during surgery |
Countries
Egypt
Outcome results
None listed