Use of Lidocaine with Bupivacaine in Peribulbar Block as Adjuvant to General Anesthesia in Comparison to General Anesthesia in Adult Strabismus Surgery

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Published: Sep 4, 2024
Keywords:
Bupivacaine, Lidocaine, Peribulbar block, General anesthesia .

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Noha Mohamed Abdelwahab
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Amira Aboelnasr Awad
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Manal Foad Abdelmoniem
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Hanan Saied Mohamed Hegazy
Ophthalmology Department, Faculty of Medicine, Al-Azhar University,Cairo ,Egypt.
Rasheda Elsaid Azzam
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Abeer Elsayed Abdellatif Farhat
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Nashwa Mohammed Ibrahiem
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Gihan Eissa Zahran
Anesthesia, ICU and Pain management Department, Faculty of Medicine, Al-Azhar University ,Cairo ,Egypt.
Nesma Sayed Mohammed
Ophthalmology Department, Faculty of Medicine, Al-Azhar University,Cairo ,Egypt.
Mohammad Moataz Mohammad Murad
Research Institute of Ophthalmology, Glaucoma and Optic nerve department, Giza, Egypt.

Abstract

Background: In recent years due to its lower hemodynamic events of regional anesthesia compared to general anesthesia, become more widely used in strabismus surgeries. Oculocardiac reflex is one of the main challenges events during ocular surgery.


Goal: In adult strabismus surgery, The purpose of the study was to evaluate peribulbar block's effectiveness and safety of combined general anesthesia and peibulbar block injection utilizing local anesthetics (lidocaine, bupivacaine, and hyaluronidase) vs general anesthesia alone. Techniques one hundred individuals with ASA-I and II in total were scheduled for strabismus surgery using either general anesthesia alone (group G = 50 patients) or general anesthesia plus peribulbar injection block (group P = 50 patients).


Results: The incidence (PONV) varied in a statistically significant way between the two teams. In addition, group (G) saw a statistically significant higher incidence of OCR than group (P). At 4, 6, and 12 hours after surgery, group (P) postoperative VAS score was statistically significantly lower than group (G). Moreover, group(G)made the request for an analgesic before group (P) did.


Conclusions: Since peribulbar block lowers both the frequency of OCR and the post-operative pain score, it is a more effective and superior approach for adult strabismus surgery when used in conjunction with general anesthesia.

Article Details

Issue
Vol. 27 No. 3 (2024)
Section
Articles
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