Anaesthesia
Conditions
Interventions
Subtenon block combined with general anesthesia
Peribulbar block combined with general anaesthesia
General anaesthesia only without block
Sponsors
Faculty of medicine cairo university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ? Patients aged 18 to 65 years, of both sexes. ? ASA I, II. ? patients undergoing muscle traction eye surgeries (buckling).
Exclusion criteria
Exclusion criteria: ? Patient refusal. ? Uncooperative patient. ? Impaired mental status, communication difficulty as deafness or language barrier. ? ASA III-IV ? Patients 65 years ? Axial eye length >28 mm. ? Clotting and coagulation abnormalities. 61 ? ophthalmitis or inflammatory eye pathology ? raised IOP ? eye injury ? single eye ? allergy to amide type local anesthetic ? patients known to have reduced plasma cholinesterase concentrations (reduced articaine metabolism) ? Patient had received an antiemetic drug or a drug with antiemetic properties during the 24 h before anesthesia. ? Patient had a body mass index =36. ? Pregnant or breastfeeding women. ? patient had a condition requiring chronic opioid use ? patient had history of GIT pathology (gastritis, hematemesis, peptic ulcer). ? Patients on corticosteroids therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percent of patients who experienced nausea and vomiting over the first 24 hrs postoperative and required antiemetic medication in the three groups. | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy and Complications with each block;Need for postoperative analgesia.;Intraoperative analgesia; by measuring hemodynamic variables (BP and HR).;Incidence of occulocardiac reflex and need for atropine each group;serum cortisol and glucose level | — |
Countries
Egypt
Contacts
Public ContactReem Elghandour
Assistant lecturer department of anesthesia faculty of medicine cairo university
Outcome results
None listed