A Safe, Efficacious and Cost Effective Way of Delivering Sub-Tenon’s Anaesthesia during Cataract Surgery
Journal Title: Ophthalmology Research: An International Journal - Year 2015, Vol 3, Issue 2
Abstract
Aims: There are considerable pressures in various health economies at present to reduce costs whilst maintaining patient safety and clinical efficacy. We report a new simplified regime for the administration of Sub-Tenon’s anaesthesia offering a cost saving of up to 95% whilst maintaining to total safety and efficacy. Study Design: The study compared usage of 2% Xylocaine (2% Lignocaine with 1:200000 Adrenaline) over the more prevalent regime of 2% Bupivacaine + 2% Lignocaine + Hyaluronidase in terms of cost, patient satisfaction, safety and efficacy prior to phacoemulsification surgery. Place and Duration of Study Sample: Department of Ophthalmology, Royal Preston Hospital, Preston UK between July and November 2010. Methodology: Following topical anaesthesia with 3 drops of Proxymetacaine 0.5% drops instilled one minute apart and subsequent administration of a drop of 5% Povidone Iodine aqueous solution into the conjunctival sac, 2ml of 2% Lignocaine with 1:200000 adrenaline was administered as a Sub-Tenon’s injection to 100 eyes of consecutive patients undergoing phacoemulsification. Pain levels during the administration of the injection and during surgery were monitored by measuring Visual Analogue Pain (VAP) scores via a prospective questionnaire immediately after the operation. Results: There were 100 eyes of patients undergoing cataract surgery included in this study. No patient required top up anaesthesia during the surgery and no serious anaesthetic related intra or post-operative complication was noted in any of the patients. The mean VAP score during delivery of anaesthetic and for the duration of surgery were both 0. Conclusion: Our results show that this regime for administration of Sub-Tenon’s anaesthesia meets the standards required in terms of both safety and efficacy whilst delivering considerable cost savings. We recommend its routine use for the reasons cited above.
Authors and Affiliations
S. Bansal, K. Jasani
Keywords
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- EP ID EP338942
- DOI 10.9734/OR/2015/7213
- Views 108
- Downloads 0
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