Comparison of 0.5% Levobupivacaine and 0.5% Bupivacaine for Retrobulbar Anesthesia in Cataract Surgery.
Objective: The aim of the study is to compare the efficacy of local anesthetics, levobupivacaine and bupivacaine, for achievement of retrobulbar anesthesia and to determine patient and surgeon satisfaction in cataract surgery. Material and Methods: One hundred and twenty patients scheduled for catar...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 4; pp. 867 - 873 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Turkiye Klinikleri
Aug2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104636552&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104636552 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Aug2011 vid: 31 iid: 4 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104636552 104636552 2011333740 10.5336/medsci.2010-17051 104636552 ppf: 867 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Comparison of 0.5% Levobupivacaine and 0.5% Bupivacaine for Retrobulbar Anesthesia in Cataract Surgery. aug: au: Aksu, Recep Biçer, Cihangir Özkiris, Abdullah Madenoglu, Halit Yegenoglu, Füsun Boyaci, Adem sug: subj: Anesthesia Methods Anesthetics Therapeutic Use Bupivacaine Therapeutic Use Cataract Extraction Methods Adolescence Adult Aged, 80 and Over Analysis of Variance Chi Square Test Data Analysis Software Descriptive Statistics Double-Blind Studies Human Male Mann-Whitney U Test Middle Age Patient Satisfaction Randomized Controlled Trials Repeated Measures Summated Rating Scaling Treatment Outcomes Visual Analog Scaling Adolescent: 13-18 years Adult: 19-44 years Aged, 80 & over Middle Aged: 45-64 years Male ab: Objective: The aim of the study is to compare the efficacy of local anesthetics, levobupivacaine and bupivacaine, for achievement of retrobulbar anesthesia and to determine patient and surgeon satisfaction in cataract surgery. Material and Methods: One hundred and twenty patients scheduled for cataract surgery were randomised, in a double-blind fashion to receive 5 ml of 0.5% levobupivacaine or 5 ml of 0.5% bupivacaine via inferotemporal injection for achievement of retrobulbar anaesthesia. Motor block durations and pain onset times were recorded. Severity of intra and postoperative pain was assessed by using visual analogue pain scale. The efficiency of anesthesia, patient and surgeon satisfaction, and akinesia durations were assessed by using point scoring scales. Hemodynamic data and adverse events were recorded. Results: Pain on injection (levobupivacaine 18%, bupivacaine 36.7%) was found to be more frequent in group B. The akinesia score after 10 minutes (median; 0, 1 respectively) and sensorial block onset time (2, 3 min) in levobupivacaine group was lower than bupivacaine group but, akinesia scores in both groups were under 4 and adequate for surgery. Surgeon and patient satisfaction regarding anesthesia were also higher in levobupivacaine group (median 10 and 10) compared to bupivacaine group (median 9 and 9) although the medians of two groups were close. Conclusions: Levobupivacaine provides better surgeon and patient satisfaction compared to bupivacaine for retrobulbar anesthesia in cataract surgery, and this finding should be supported by new and comprehensive clinical studies. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
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