Sodium bicarbonate versus hyaloronidase in peribulbar anaesthesia
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 4
Abstract
The goals of safe effective anaesthesia is to achieve good surface anaesthesia akinesia hypotony analgesia Peribulbar anesthesia is a safer to minimize complications of retrobulbar anesthesia Hyaluronidase is used to aid in the better diffusion of anaesthetic solution The cost limited shelf life risk of anaphlylaxsis are its limiting factors Hence the need for studying the efficacy of sodium bicarbonate as an alternative to hyaluronidaseMaterials and Methods Prospective randomized study on 100 patients who underwent cataract surgery Group A was injected with an anaesthetic mixture containing 05 bupivacaine lignocaine with adrenaline with 1ml hyaluronidase Group B was injected with an anaesthetic mixture of 05 bupivacaine and lignocaine 2 to which 75 sodium bicarbonate was addedResults Group A onset of anaesthesia 5 minutes 4692 50100 of group B five minutes Akinetic action of agent 1 better than agent 2 chemosis 16 32 in group A18 34 group B Lid edema nil group A 17 34 of group B Subconjunctival hemorrhage 36 group A 48 group B Peribulbar hemorrhage nil group A 24 group B Globe perforation none Raised IOP 12 group A 1224 group B Overall effective anaesthesia akinesia achieved in 49 patients 98 of group A 43 86 of group B Systemic complication in 12 of group BConclusion The present study showed that sodium bicarbonate is a effective alternative to hyaluronidase in peribulbar anaesthesiaKeywords Cataract surgery Hyaluronidase Peribulbar anaesthesia Sodium bicarbonate
Authors and Affiliations
Sarita Gonsalves, Nelly Nazareth, Vivekand U, F E. A Rodrigues
Keywords
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- EP ID EP474859
- DOI 10.18231/2395-1451.2018.0109
- Views 94
- Downloads 0
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