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Effects of addition of fentanyl to lidocaine plus adrenaline during peribulbar anaesthesia for cataract surgery: A prospective study.
- Source :
- Journal of Clinical Sciences; Apr-Jun2024, Vol. 21 Issue 2, p65-71, 7p
- Publication Year :
- 2024
-
Abstract
- Background: Local anaesthesia is most commonly used for cataract surgery in adult patients. Different combinations of local anesthetic agents and adjuvants have been used to provide adequate anaesthesia and analgesia. This study assessed the effect of adding 25 µg fentanyl to lidocaine with adrenaline mixture on the onset and duration of anaesthesia in adult patients undergoing cataract surgery under peribulbar anaesthesia. Methods: This was a double blind, randomized controlled study. Adult patients aged 40 years and above with American Society of Anesthesiologists Physical Status Classes 1 and 2 undergoing cataract surgery under peribulbar block (PB) were studied. Sixty‑six patients were randomized into two equal groups. Group A had 25 µg fentanyl (0.5 mL) added to 6 mL of 2% lidocaine with adrenaline while Group B had sterile water 0.5 mL added to 6 mL of 2% lidocaine with adrenaline for PB. Onset and duration of lid akinesia, globe akinesia, globe anaesthesia, Numerical Rating Scale (NRS) pain score, time to analgesia request as well as patient and surgeon satisfaction were assessed. Results: The differences in the onset of lid akinesia, globe akinesia, and globe anaesthesia between the two groups were statistically significant(P ≤ 0.001,respectively).Themeanduration of globe akinesia and globe anaesthesia was longer in GroupA as compared to GroupB (P = 0.008 and P = 0.009, respectively). Statistically significant differences in median NRS scores were found at the 4th, 5th, and 6th h (P = 0.001, respectively). The mean duration to analgesia request was 238.1 ± 65.5 min in Group A compared to 207.2 ± 49.1 min in Group B (P = 0.034). Conclusion: The addition of 25 µg fentanyl to 2% lidocaine plus adrenaline mixture improved the quality of peribulbar anaesthesia and is recommended in Nigerian adults scheduled for cataract surgery under peribulbar anaesthesia to improve their surgical experience. [ABSTRACT FROM AUTHOR]
- Subjects :
- INNERVATION of the eye
EYE-sockets
PAIN measurement
LOCAL anesthesia
T-test (Statistics)
SURGERY
PATIENTS
CATARACT surgery
BLIND experiment
STATISTICAL sampling
FISHER exact test
ADRENALINE
RANDOMIZED controlled trials
DESCRIPTIVE statistics
CHI-squared test
LONGITUDINAL method
DRUG efficacy
NIGERIANS
PATIENT satisfaction
COMPARATIVE studies
DATA analysis software
FENTANYL
LIDOCAINE
NERVE block
INNERVATION
Subjects
Details
- Language :
- English
- ISSN :
- 24686859
- Volume :
- 21
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 178790867
- Full Text :
- https://doi.org/10.4103/jcls.jcls_94_22