Save
COMPARISON OF SUB-TENON BLOCK, PERIBULBAR BLOCK AND IV FENTANYL FOR PERIOPERATIVE ANALGESIA IN PAEDIATRIC CATARACT SURGERY
Author(s): ,
Shende, D.*
Affiliations:
All India Institute of Medical Sciences, Anaesthesia-Pain medicine-& Critical care, New Delhi- India, India
,
Kalaiysaran, R.
Affiliations:
All India Institute of Medical Sciences, Anaesthesia-Pain medicine-& Critical care, New Delhi- India, India
,
Lokesh , K.
Affiliations:
All India Institute of Medical Sciences, Anaesthesia-Pain medicine-& Critical care, New Delhi- India, India
,
Khokhar, S.
Affiliations:
All India Institute of Medical Sciences, Anaesthesia-Pain medicine-& Critical care, New Delhi- India, India
Darlong, V.
Affiliations:
All India Institute of Medical Sciences, Anaesthesia-Pain medicine-& Critical care, New Delhi- India, India
ESRA Academy. Shende D. Sep 13, 2017; 190835; 398 Topic: REGIONAL ANAESTHESIA (RA) IN SPECIFIC SUBPOPULATIONS
Disclosure(s): None
Prof. Dilip Shende
Prof. Dilip Shende

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Congenital cataract surgery is the most commonly performed intraocular surgery .Ophthalmic blocks in children were previously studied by various researchers in conjunction with general anaesthesia.

We designed this prospective randomised, study to evaluate the effect of sub-tenon block, peribulbar block on perioperative analgesia & compare with IV fentanyl in children undergoing elective cataract surgery.

Primary outcome: I/O & P/O fentanyl, paracetamol requirement, TFA

Secondary outcome: To assess the incidence of OCR,PONV, Surgeon satisfaction, Parental satisfaction and recovery profile 

Methods:

After approval by the institutional ethics committee and informed written parental consent, 60 children of ASA grade I and II, Age (6m-10 yrs.) undergoing lens extraction surgery under G.A.were allocated into three groups.

 Group 1: STB (n=20)subtenon block -Group 2: PB(n=20)peribulbar block

  Group 3: F(n=20)Control group.No block

Block groups recived0.5% bupivacaine(0.06-0.08ml/kg) along with hyaluronidase 10 IU/ml 

 Perioperative rescue analgesia was managed with IV fentanyl(0.5mcg/kg)

Results:

Demographic data were comparable .Rescue analgesic requirement, TFA in the immediate postoperative period was significantly higher in Control Group 55 %( n=11/20) as compared to block groups. Postoperative paracetamol/ibuprofen consumption was similar between the groups

Incidence of PONV& OCR was comparable between the groups. No patient in the study population suffered any serious complication of the regional ophthalmic blocks or opioids

Conclusions:

Sub-tenon block contributed significantly to immediate postoperative analgesia , faster recovery , better surgeon satisfaction & operative conditions . Block groups were comparable in terms of perioperative rescue analgesia consumption. Incidence of OCR, PONV and parental satisfaction score were comparable between all the three groups.

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings