Single-Injection Percutaneous Peribulbar Anesthesia with a Short Needle as an Alternative to the Double-Injection Technique for Cataract Extraction

Ghali, Ashraf M; Hafez, Amr Fouad

doi:10.1213/ane.0b013e3181c293bd

Cited by 23 publications

(14 citation statements)

References 8 publications

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“…Classically, PBA involves two injections, one ventrolateral (VL; named inferotemporal in the human literature), and the second dorsomedial (DM; named superonasal in the human literature); however studies in humans have shown that the distribution of the local anesthetic is similar with one injection site or two, and one injection may be safer (Demirok et al. ; El Said & Kabeel ; Ghali & Hafez ; Nouvellon et al. ).…”

Section: Introductionmentioning

confidence: 99%

“…The injection of a large volume (6-12 mL in humans) encourages anterior spread to the eyelids, providing more complete analgesia as well as akinesia of the orbicularis oculi muscle (Ripart et al 2001;Nouvellon et al 2010a,b). Classically, PBA involves two injections, one ventrolateral (VL; named inferotemporal in the human literature), and the second dorsomedial (DM; named superona-sal in the human literature); however studies in humans have shown that the distribution of the local anesthetic is similar with one injection site or two, and one injection may be safer (Demirok et al 1997;El Said & Kabeel 2010;Ghali & Hafez 2010;Nouvellon et al 2010b). Recently, the PBA technique has been reported in dogs for eyelid surgery and (in combination with RBA) for enucleations; however the method described involves a four-site injection technique (dorsally, ventrally, laterally and medially) (Giuliano 2008).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrobulbar and peribulbar regional techniques in cats: a preliminary study in cadavers

Shilo‐Benjamini

Pascoe

Maggs

et al. 2013

Veterinary Anaesthesia and Analgesia

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retrobulbar and peribulbar regional techniques in cats: a preliminary study in cadavers

Shilo‐Benjamini

Pascoe

Maggs

et al. 2013

Veterinary Anaesthesia and Analgesia

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“…Con la misma técnica anestésica aplicada a 857 pacientes, se encontró que después de los 7 min el 100% de los pacientes tenía un bloqueo adecuado para cirugía 7 . Otros autores han documentado que un bloqueo efectivo se inicia después de 10 min con esta técnica 8 .…”

Section: Discussionunclassified

Experiencia local con el uso de punción única peribulbar caruncular para anestesia oftálmica

Calvache

López

Castro-Delgado

2014

Revista Colombiana de Anestesiología

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información del artículo Historia del artículo: Recibido el 20 de mayo de 2013 Aceptado el 7 de octubre de 2013 On-line el 15 de enero de 2014 Palabras clave: Anestesiología Anestesia de Conducción Procedimientos quirúrgicos oftalmológicos BupivacaínaLidocaína r e s u m e n Introducción: En la actualidad la anestesia peribulbar se considera la técnica de anestesia regional de elección para diversos procedimientos quirúrgicos oftalmológicos debido a su efectividad y a su baja incidencia de complicaciones. Técnicas recientes reducen las 2 punciones a una sola y se encuentran en proceso de evaluación.Objetivos: Medir la eficacia y la seguridad de la técnica de punción única peribulbar caruncular para distintos procedimientos quirúrgicos llevados a cabo en una clínica oftalmológica en la ciudad de Popayán (Colombia).Métodos: Se incluyeron pacientes sometidos a diversos procedimientos oftalmológicos. La técnica anestésica empleada consistía en una punción única peribulbar caruncular. El anestésico utilizado fue bupivacaína 0,5% 2,5 ml, lidocaína 2% 2,5 ml con hialuronidasa 7 UI/ml. Los pacientes fueron evaluados en los minutos 10, 15 y 20. Se midió la funcionalidad motora de los 4 músculos extraoculares y el control motor del párpado superior e inferior.Resultados: Se incluyeron 137 pacientes. El 54% eran de género femenino y el 77% ASA II.A los 10 min de evaluación el 92% de los pacientes alcanzan anestésico apropiado para cirugía. Treinta y seis pacientes (26,3%) requirieron el uso de refuerzo mediante una nueva punción peribulbar. Veintidós pacientes (16%) refirieron presentar un dolor leve durante el procedimiento anestésico. En 4 casos (3%) se presentó quemosis.Conclusiones: Con el uso de la técnica de punción única caruncular la gran mayoría de los pacientes alcanzan un bloqueo ocular apropiado para diversos procedimientos quirúrgicos oftalmológicos. Este bloqueo se incrementa con el tiempo y la incidencia de complicaciones es baja.

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“…The authors[11] proved in a previous study that the single-injection technique for percutaneous PBA with a short needle as described by Rizzo et al . [10] provided adequate akinesia and analgesia for cataract surgery.…”

Section: Discussionmentioning

confidence: 99%

“…It requires a single puncture rather than multiple punctures and provides adequate analgesia and akinesia. [11]…”

Section: Introductionmentioning

confidence: 99%

Single-injection percutaneous peribulbar anesthesia with a short needle versus sub-Tenon′s anesthesia for cataract extraction

2011

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Purpose:This study compared the efficacy of single-injection percutaneous peribulbar anesthesia (PBA) with a short needle with sub-Tenon's anesthesia (STA) to produce optimal operating conditions for cataract extraction in patients with complicated cataract.Methods:Two hundred patients with complicated cataract were enrolled in this prospective, double-blinded, randomized study. Adequate akinesia was a surgical requisite for all cases included in the study because of the expected difficult surgery. The patients were divided into two equal groups to receive either peribulbar anesthesia (PBA) with a 16-mm needle or sub-Tenon's anesthesia. Surgical akinesia (as a primary end point), analgesia, incidence of complications, as well as patient and surgeon satisfaction (as secondary end points) were assessed.Results:Both techniques provided similar analgesia during the operation and similar rates of incidence of chemosis with no serious complications; while the PBA group provided higher degree of akinesia 10 minutes after injection of the local anesthetic, a lower incidence of subconjunctival hemorrhage (SCH) and higher patient and surgeon satisfaction compared to the STA group.Conclusion:We concluded that when globe akinesia is necessary during surgery, the single-injection technique for percutaneous peribulbar anesthesia with a short needle proved to be more suitable than the STA in providing akinesia for cataract surgery. Also, this PBA technique demonstrated a lower incidence of SCH and was preferred to STA by the patients and surgeon.

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Single-Injection Percutaneous Peribulbar Anesthesia with a Short Needle as an Alternative to the Double-Injection Technique for Cataract Extraction

Abstract: The single-injection technique for percutaneous peribulbar anesthesia with a short needle is a suitable alternative to the double-injection technique for cataract surgery.

Cited by 23 publications

References 8 publications

Retrobulbar and peribulbar regional techniques in cats: a preliminary study in cadavers

Retrobulbar and peribulbar regional techniques in cats: a preliminary study in cadavers

Experiencia local con el uso de punción única peribulbar caruncular para anestesia oftálmica

Single-injection percutaneous peribulbar anesthesia with a short needle versus sub-Tenon′s anesthesia for cataract extraction

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