Comparison of 0.5% Bupivacaine with 0.5% Bupivacaine and Dexamethasone in Peribulbar Block for Small Incision Cataract Surgery: A Prospective Randomized Controlled Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 12
Abstract
Objective: To compare the anesthetic efficacy and postoperative analgesia between 0.5% bupivacaine and 2mg dexamethasone and 0.5% bupivacaine alone in peribular block for small incision cataract surgery. Methods: 50 patients were randomized into 2 groups of 25 each to receive peribulbar anesthesia using 0.5% bupivacaine and 2mg dexamethasone in group I and 0.5% bupivacaine alone in group II. The patients were assessed for onset and duration of akinesia and postoperative analgesia. Results: Akinesia was achieved faster (6.32±1.11 mins) in group II when compared to group I (14.12±2.99 mins) which was statistically significant. The duration of akinesia was longer in group I (2.52±0.51 hrs) when compared to group II (1.36±0.40 hrs) which was also significant. The VAS scores were significantly lower at 0, 1, 2 hrs in group I than group II. Conclusion: The addition of dexamethasone to bupivacaine in peribulbar block provided prolonged duration of akinesia and analgesia with lower VAS scores postoperatively.
Authors and Affiliations
Shantala Arun Kumar
Keywords
Related Articles
- EP ID EP550255
- DOI 10.21088/ijaa.2349.8471.51218.21
- Views 94
- Downloads 0
Comparing the Postoperative Analgesic Effect of Subcostal Transverse Abdominis Plane Block and Intraperitoneal Installation using Ropivacaine in Laparoscopic Cholecystectomy Patients
Background: Laparoscopic cholecystectomy is one of the most common ambulatory elective procedures. Surgical pain derives significantly from the incisions made in the anterior abdominal wall. Nerve supplying the anterior...
Comparison of the Ropivacaine and Ropivacaine with Fentanyl in Femoral Nerve Block Prior to Spinal Anaesthesia for Positioning in Orthopedic Lower Limb Surgeries
Introduction: Spinal anesthesia is performed for orthopedic lowerlimb surgeries for its dense blockade, rapid onset and pain relief in the postoperative period. femoral nerve block is performed prior to subarachnoid bloc...
Study on Traditional Didactic Teaching versus VideolaryngoscopyAssisted Feedback for Teaching Endotracheal Intubation
Direct laryngoscopy and endotracheal intubation is an integral part of many fields of medical care including anaesthesia, intensive care and emergency medicine. Aim: The aim of the study was to assess the relative effica...
Effect of Positioning after Induction of Spinal Anaesthesia with 0.5% Hyperbaric Bupivacaine in Orthopedic Procedures
Context: Spinal anesthesia is considered safe over general anesthesia but has some side effects. To overcome its side effects, it can be given in sitting position and after two minutes patient can be kept in supine posit...
Comparison of Rotational Technique versus Standard Technique of Laryngeal Mask Airway Insertion in Adults: A Prospective Randomised Controlled Study
Background and Aim: The Laryngeal mask airway (LMA) is widely used for elective short surgical procedures with both spontaneous and controlled ventilation. Brain’s standard technique of insertion is reliable but not alwa...