Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations
ABSTRACTBackground Adding certain drugs to the local anesthetics (LA) in peribulbar block (PBB) increases its intensity and duration of action, so we did this research to assess the impact of fentanyl addition to the LA in PBB for vitrectomy.Methods Forty patients were divided into:Control group: Th...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Egyptian Journal of Anaesthesia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/11101849.2023.2175845 |
| _version_ | 1811165032439873536 |
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| author | Abeer A Hassanin Hossam Elden M Moharam Shimaa H Hassan Sahar A Hashish |
| author_facet | Abeer A Hassanin Hossam Elden M Moharam Shimaa H Hassan Sahar A Hashish |
| author_sort | Abeer A Hassanin |
| collection | DOAJ |
| description | ABSTRACTBackground Adding certain drugs to the local anesthetics (LA) in peribulbar block (PBB) increases its intensity and duration of action, so we did this research to assess the impact of fentanyl addition to the LA in PBB for vitrectomy.Methods Forty patients were divided into:Control group: They got 9.5 ml of 0.5% bupivacaine (6 ml), 2% lidocaine (1.5 ml), 45 IU hyaluronidase (in 1.5 ml lidocaine), and 0.5 ml saline.Fentanyl group: They got the same medications plus 0.5 ml (25 mcg) of fentanyl instead of the saline.Our primary outcome was the duration of the block, and our secondary outcomes were the start of the motor block, scores for globe and lid akinesia, the quality of the block, scores for patient and surgeon satisfaction, postoperative VAPS, and the first request for analgesia and complications from the drugs used or the technique.Results The start of the motor block was significantly rapid in the fentanyl group. Additionally, there were notable variations in the length and intensity of the block between the two groups. The postoperative pain score was lower in the fentanyl group. While it was acceptable in the control group, the block quality was perfect in the fentanyl group. Complete patient satisfaction happens more often in the fentanyl group. There were no complications reported.Conclusion Fentanyl, when added to LA mixtures in PBB in vitrectomy, decreased the onset, increased the duration of lid and globe akinesia, and improved the quality of analgesia without causing any complications. |
| first_indexed | 2024-04-10T15:32:06Z |
| format | Article |
| id | doaj.art-2fc196cafb244226bb765ab94dacfc04 |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-04-10T15:32:06Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-2fc196cafb244226bb765ab94dacfc042023-02-13T13:12:22ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492023-12-0139116717610.1080/11101849.2023.2175845Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operationsAbeer A Hassanin0Hossam Elden M Moharam1Shimaa H Hassan2Sahar A Hashish3Anesthesia Department, Ophthalmology Department, Faculty of Medicine, Minia University, Minya, EgyptAnesthesia Department, Ophthalmology Department, Faculty of Medicine, Minia University, Minya, EgyptAnesthesia Department, Ophthalmology Department, Faculty of Medicine, Minia University, Minya, EgyptAnesthesia Department, Ophthalmology Department, Faculty of Medicine, Minia University, Minya, EgyptABSTRACTBackground Adding certain drugs to the local anesthetics (LA) in peribulbar block (PBB) increases its intensity and duration of action, so we did this research to assess the impact of fentanyl addition to the LA in PBB for vitrectomy.Methods Forty patients were divided into:Control group: They got 9.5 ml of 0.5% bupivacaine (6 ml), 2% lidocaine (1.5 ml), 45 IU hyaluronidase (in 1.5 ml lidocaine), and 0.5 ml saline.Fentanyl group: They got the same medications plus 0.5 ml (25 mcg) of fentanyl instead of the saline.Our primary outcome was the duration of the block, and our secondary outcomes were the start of the motor block, scores for globe and lid akinesia, the quality of the block, scores for patient and surgeon satisfaction, postoperative VAPS, and the first request for analgesia and complications from the drugs used or the technique.Results The start of the motor block was significantly rapid in the fentanyl group. Additionally, there were notable variations in the length and intensity of the block between the two groups. The postoperative pain score was lower in the fentanyl group. While it was acceptable in the control group, the block quality was perfect in the fentanyl group. Complete patient satisfaction happens more often in the fentanyl group. There were no complications reported.Conclusion Fentanyl, when added to LA mixtures in PBB in vitrectomy, decreased the onset, increased the duration of lid and globe akinesia, and improved the quality of analgesia without causing any complications.https://www.tandfonline.com/doi/10.1080/11101849.2023.2175845Peribulbar blockfentanylvitrectomy |
| spellingShingle | Abeer A Hassanin Hossam Elden M Moharam Shimaa H Hassan Sahar A Hashish Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations Egyptian Journal of Anaesthesia Peribulbar block fentanyl vitrectomy |
| title | Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations |
| title_full | Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations |
| title_fullStr | Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations |
| title_full_unstemmed | Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations |
| title_short | Fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations |
| title_sort | fentanyl as an adjuvant to the local anesthetic in the peribulbar block for vitrectomy operations |
| topic | Peribulbar block fentanyl vitrectomy |
| url | https://www.tandfonline.com/doi/10.1080/11101849.2023.2175845 |
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