Comparison of articaine and bupivacaine/lidocaine for peribulbar anaesthesia by inferotemporal injection

Abstract

Two per cent articaine is safe and effective for peribulbar anaesthesia by inferotemporal injection and is a suitable alternative to the traditional mixture of 0.5% bupivacaine and 2% lidocaine.

Comparison of Injection Pain of Articaine and Lidocaine in Eyelid Surgery

“…14 It has been recently approved by the U.S. Food and Drug Administration for dental use, but it is relatively unknown in oculoplastic surgery despite several studies confirming its efficacy and safety for periocular use. [15][16][17] Articaine has been shown to have a faster onset than lidocaine 16 and is a very popular anesthetic agent for dental anesthesia in other countries. 7,17 In many respects, articaine and lidocaine are similar.…”

Choice of local anesthetic for peribulbar block: literature review

“…Entretanto, é possível bloqueio sensitivo ótimo, que possibilita a cirurgia, sem a total acinesia, configurando um fator de confusão entre qualidade da anestesia e movimentação ocular. [7][8][9][10][11][12][13] Mais do que a escolha do anestésico, o fator que mais influencia o início da anestesia é o uso da hialuronidase. Esta enzima proteolítica facilita a dispersão do anestésico na cavidade orbitária, acelerando o início de ação.…”

Articaine: a review of its use for local and regional anesthesia

“…The duration of block was adequate for surgery in all cases with a mean time from block insertion to end of surgery of 44 minutes (SD 14); articaine had a faster offset. The same study design was used for peribulbar anesthesia in cataract surgery using a single inferotemporal injection of 6–7 mL 60. A rapid onset to readiness for surgery (4.2 versus 7.2 minutes), a dense block lasting for 33 minutes (SD 9.8), and a faster offset of the block in the articaine group were demonstrated.…”