Peribulbar Anesthesia: A Percutaneous Single Injection Technique with a Small Volume of Anesthetic

Rizzo, Leonardo; Marini, M; Rosati, Chiara; Calamai, Italo; Nesi, Michela; Salvini, Roberto; Mazzini, Cinzia; Campana, Fiamma; Brizzi, E

doi:10.1213/01.ane.0000140951.65240.94

Cited by 46 publications

(40 citation statements)

References 13 publications

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“…This finding was in accordance with Rizzo et al [17] who demonstrated motor block in 100% of the patients after 5 min while using the same approach and needle size. The supplementation rate for the IT injection group was consistent with those of the previous studies that range from 5 to 63% [5,19].…”

Section: Discussionsupporting

confidence: 92%

“…In the IM group, the injection site was as described by Rizzo et al [17]: percutaneous and limited superiorly from the inferior lacrimal canaliculus, median from the lateral margin of the nose, laterally from an imaginary perpendicular line that joins the inferior lacrimal papilla to the inferior margin of the orbit and inferiorly from the inferior margin of the orbit. The needle was advanced percutaneously in an anteroposterior direction for half of its length (never more than 10 mm) and later obliquely in the direction of the optical foramen.…”

Section: Methodsmentioning

confidence: 99%

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Comparison between Single-Injection Inferomedial and Inferotemporal Peribulbar Blockades before Cataract Surgery

Mahdy

Ghanem

2011

Ophthalmologica

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Purpose: To compare the efficacy and safety of single-injection inferomedial (IM) and conventional inferotemporal (IT) peribulbar blockades. Patients and Methods: This prospective randomized study included 200 patients who were randomly allocated into two equal groups (n = 100 patients); in the first group, patients received IM peribulbar injection (IM group), while IT peribulbar injection was performed for the second group (IT group). The measurement data were patient characteristics, number of patients who required supplementations, total anesthetic volume injected, surgeon’s experience and any recordable complications. Results: The number of patients who required supplemental anesthetics due to inadequate block was significantly higher in the IT group (15 patients, 15%, vs. no patients, 0%, in the IM group). The total anesthetic volume injected was significantly lower in the IM group (5.6 ± 0.8 vs. 9.8 ± 0.7 ml in the IT group). Surgeon’s satisfaction was significantly higher in the IM group (100 vs. 22% in the IT group). The incidences of complications were not significantly different between the two groups. Conclusion: It is safe and effective to conduct single-injection IM peribulbar blockade using a small needle size and low anesthetic volume.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Comparison between Single-Injection Inferomedial and Inferotemporal Peribulbar Blockades before Cataract Surgery

Mahdy

Ghanem

2011

Ophthalmologica

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“…The injection site was in the inferior orbital edge and in the same line as the inferior lacrimal canaliculus. The needle was advanced in an antero-posterior direction for half of its length and then obliquely in the direction of the optical foramen as described by Rizzo et al [7]. After negative aspiration, 5-7 ml of the local anaesthetic solution (0.75% ropivacaine with hyaluronidase 15 iu.ml )1 ) was slowly injected until there was a complete drop and fullness of the upper eyelid.…”

Section: Methodsmentioning

confidence: 99%

The effect on outcome of peribulbar anaesthesia in conjunction with general anesthesia for vitreoretinal surgery

Ghali¹,

Btarny

2010

Anaesthesia

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SummaryThe purpose of this study was to evaluate peri-operative outcome after vitreoretinal surgery when peribulbar anaesthesia is combined with general anaesthesia. Sixty adult patients undergoing elective primary retinal detachment surgery with scleral buckling or an encircling procedure received either peribulbar anaesthesia in conjunction with general anaesthesia or general anaesthesia alone. For peribulbar anaesthesia a single percutaneous injection of 5-7 ml of local anaesthetic solution (0.75% ropivacaine with hyaluronidase 15 iu.ml )1 ) was used. The incidence of intraoperative oculocardiac reflex and surgical bleeding interfering with the surgical field, postoperative pain and analgesia requirements, and postoperative nausea and vomiting were recorded. In the block group there was a lower incidence of oculocardiac reflex and surgical bleeding intraoperatively. Patients in the block group also had better postoperative analgesia and a lower incidence of postoperative nausea and vomiting compared with the group without a block. The use of peribulbar anaesthesia in conjunction with general anesthesia was superior to general anaesthesia alone for vitreoretinal surgery with scleral buckling.

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“…The needle which was used is a 25-gauge, 5/8 inch. The needle was inserted and advanced as described by Rizzo et al [7], then after negative aspiration (to avoid intravascular injection) local anesthetic was injected. A Honan balloon (set at 30 mm Hg for 10 min) was used for mechanical compression of the orbit.…”

Section: Technique Of Blockmentioning

confidence: 99%

Dexmedetomidine vs. Fentanyl as Adjuvant to Local Anaesthetic Mixture in Peribulbar Block for Retinal Surgery: A Randomized Prospective Study

Khalil¹,

Marouf²

2017

J Anesth Clin Res

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Peribulbar Anesthesia: A Percutaneous Single Injection Technique with a Small Volume of Anesthetic

Cited by 46 publications

References 13 publications

Comparison between Single-Injection Inferomedial and Inferotemporal Peribulbar Blockades before Cataract Surgery

Comparison between Single-Injection Inferomedial and Inferotemporal Peribulbar Blockades before Cataract Surgery

The effect on outcome of peribulbar anaesthesia in conjunction with general anesthesia for vitreoretinal surgery

Dexmedetomidine vs. Fentanyl as Adjuvant to Local Anaesthetic Mixture in Peribulbar Block for Retinal Surgery: A Randomized Prospective Study

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