Ropivacaine 0.75% for peribulbar block in vitrectomy

Increased life expectancy will result in an increased number of elderlies scheduled for surgery. The vitreous undergoes the irreversible process of aging. Anesthesiologists must provide optimal perioperative care for patients posted for vitrectomy. Peribulbar block is one of the safest alternatives....

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Main Authors: Tjokorda Gde Agung Senapathi, I Made Gede Widnyana, Christopher Ryalino, Ida Bagus Gita Dharma Wibawa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Bali Journal of Anesthesiology
Subjects:
Online Access:http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2021;volume=5;issue=1;spage=38;epage=39;aulast=Agung
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author Tjokorda Gde Agung Senapathi
I Made Gede Widnyana
Christopher Ryalino
Ida Bagus Gita Dharma Wibawa
author_facet Tjokorda Gde Agung Senapathi
I Made Gede Widnyana
Christopher Ryalino
Ida Bagus Gita Dharma Wibawa
author_sort Tjokorda Gde Agung Senapathi
collection DOAJ
description Increased life expectancy will result in an increased number of elderlies scheduled for surgery. The vitreous undergoes the irreversible process of aging. Anesthesiologists must provide optimal perioperative care for patients posted for vitrectomy. Peribulbar block is one of the safest alternatives. Ropivacaine has a vasoconstriction effect that useful to minimize the increasing of intraocular pressure (IOP) after peribulbar injection. In this case report, we managed an 86-year-old patient who underwent vitrectomy procedure by peribulbar block. Peribulbar block provides blocks for ciliary, oculomotor, and abducens nerves. The needle is introduced into the extraconal space. The first injection is inferior and temporal, and the second injection is superior and nasal, between the medial third and lateral two-thirds of the orbital roof. The block provided adequate analgesia, akinesia, and decreased IOP.
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spelling doaj.art-0f608bcb36694369adace13fca185c9a2022-12-21T22:05:42ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762021-01-0151383910.4103/BJOA.BJOA_146_20Ropivacaine 0.75% for peribulbar block in vitrectomyTjokorda Gde Agung SenapathiI Made Gede WidnyanaChristopher RyalinoIda Bagus Gita Dharma WibawaIncreased life expectancy will result in an increased number of elderlies scheduled for surgery. The vitreous undergoes the irreversible process of aging. Anesthesiologists must provide optimal perioperative care for patients posted for vitrectomy. Peribulbar block is one of the safest alternatives. Ropivacaine has a vasoconstriction effect that useful to minimize the increasing of intraocular pressure (IOP) after peribulbar injection. In this case report, we managed an 86-year-old patient who underwent vitrectomy procedure by peribulbar block. Peribulbar block provides blocks for ciliary, oculomotor, and abducens nerves. The needle is introduced into the extraconal space. The first injection is inferior and temporal, and the second injection is superior and nasal, between the medial third and lateral two-thirds of the orbital roof. The block provided adequate analgesia, akinesia, and decreased IOP.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2021;volume=5;issue=1;spage=38;epage=39;aulast=Agungakinesiabupivacaineperibulbarropivacaine
spellingShingle Tjokorda Gde Agung Senapathi
I Made Gede Widnyana
Christopher Ryalino
Ida Bagus Gita Dharma Wibawa
Ropivacaine 0.75% for peribulbar block in vitrectomy
Bali Journal of Anesthesiology
akinesia
bupivacaine
peribulbar
ropivacaine
title Ropivacaine 0.75% for peribulbar block in vitrectomy
title_full Ropivacaine 0.75% for peribulbar block in vitrectomy
title_fullStr Ropivacaine 0.75% for peribulbar block in vitrectomy
title_full_unstemmed Ropivacaine 0.75% for peribulbar block in vitrectomy
title_short Ropivacaine 0.75% for peribulbar block in vitrectomy
title_sort ropivacaine 0 75 for peribulbar block in vitrectomy
topic akinesia
bupivacaine
peribulbar
ropivacaine
url http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2021;volume=5;issue=1;spage=38;epage=39;aulast=Agung
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AT imadegedewidnyana ropivacaine075forperibulbarblockinvitrectomy
AT christopherryalino ropivacaine075forperibulbarblockinvitrectomy
AT idabagusgitadharmawibawa ropivacaine075forperibulbarblockinvitrectomy