Retrobulbar Bupivacaine Irrigation for Postoperative Pain after Scleral Buckling Surgery

Duker, Jay S.; Nielsen, J C; Vander, J.F.; Rosenstein, Rebecca B.; Benson, William E.

doi:10.1016/s0161-6420(91)32263-2

Cited by 29 publications

(29 citation statements)

References 5 publications

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“…Postoperative retrobulbar bupivacaine irrigation has also been shown to provide pain relief in adults after scleral buckling. 20 Few studies evaluate the use of regional anesthesia in pediatric ophthalmic surgery. Deb et al 17 evaluated preemptive peribulbar block as an adjunct to GA in children undergoing brief ophthalmic procedures (60 to 70 minutes) and demonstrated a significant reduction in postoperative pain scores.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of pre-emptive peribulbar block in pediatric vitreoretinal surgery: A prospective study

Subramaniam

Subbarayudu²,

Rewari³

et al. 2003

Regional Anesthesia and Pain Medicine

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Section: Discussionmentioning

confidence: 99%

Usefulness of pre-emptive peribulbar block in pediatric vitreoretinal surgery: A prospective study

Subramaniam

Subbarayudu²,

Rewari³

et al. 2003

Regional Anesthesia and Pain Medicine

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“…59 This is not required for anterior segment surgery, which is usually painless in the postoperative period. Actually, pain occurring after a cataract surgery is absolutely abnormal, and should be considered as an alarm sign of ocular hypertonia or sepsis.…”

Section: Use Of Eye Block In Postoperative Analgesiamentioning

confidence: 99%

Regional anesthesia for eye surgery

Ripart

Nouvellon

Chaumeron

2005

Regional Anesthesia and Pain Medicine

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“…In the recent years, many attempts have been made to minimize postoperative pain following impacted third molar surgery. Although the delivery of a local anesthetic agent into the tooth socket has been introduced as a novel approach to achieve the most satisfying method for postoperative pain relief (8,9) in the recent years, this approach might have been consecutively accompanied by some common complications of local anesthetic agents. Many clinicians have emphasized the necessity for better pain control in patients who undergo third molar surgery.…”

Section: Introductionmentioning

confidence: 99%

Clinical Trial of Combination of Acetaminophen, Ibuprofen and Caffeine on Pain Relief and Analgesic Use After Impacted Lower Third Molar Surgery

2017

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Objectives: Relieving a very painful procedure such as impacted lower third molar surgery by combining analgesics into a single product using their synergistic effects is favorable. We designed a prospective, randomized, double-blind clinical trial to study the beneficial effect of the combination of acetaminophen, ibuprofen, and caffeine on reducing the severity of postoperative pain after impacted lower third molars surgery. Methods:This was a double-blinded clinical trial on 108 patients scheduled for impacted third molar surgery. The patients were randomly assigned into 2 groups. Two hours before the procedure the intervention group received combination therapy of acetaminophen (600 mg), ibuprofen (400 mg), and caffeine (15 mg) as pre-emptive analgesia, and the control group received placebo. All patients received gelofen capsules (400 mg) uniformly after the intervention as PRN. Postoperative assessment of pain severity [using a 10-point visual analog scale (VAS)] and analgesic consumption was performed at 2, 4, 6, and 8 hours after the operation. All statistical analyses were performed using SPSS software (version 19.0, SPSS Inc., Chicago, Illinois), with chi-square test or Fisher's and Mann-Whitney U test. Results:The severity of preoperative pain did not differ before receiving the first dose of study drugs. However, at any time points after the surgery, the mean pain score was significantly lower in the group who received combination regimen than the control group (P < 0.001). In a general linear model, using a repeated-measures analysis, concerning the analgesic dose administered after the surgery, the mean number of doses in 8 hours was 0.96 for the combination therapy group and 1.8 for the control group, with a significant difference (P = 0.022). Conclusions:The pre-emptive combination therapy including acetaminophen, ibuprofen, and caffeine can be used efficiently to control postoperative pain after impacted third molar surgery.

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Retrobulbar Bupivacaine Irrigation for Postoperative Pain after Scleral Buckling Surgery

Cited by 29 publications

References 5 publications

Usefulness of pre-emptive peribulbar block in pediatric vitreoretinal surgery: A prospective study

Usefulness of pre-emptive peribulbar block in pediatric vitreoretinal surgery: A prospective study

Regional anesthesia for eye surgery

Clinical Trial of Combination of Acetaminophen, Ibuprofen and Caffeine on Pain Relief and Analgesic Use After Impacted Lower Third Molar Surgery

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