Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block

Forty patients ASAI, II undergoing vitrectomy due to vitreous hemorrhage not associated with retinal detach-ment were divided into two groups randomly, each of them with 20 patients. In Control group patients received local anaesthetic only, while Fentanyl group receive 20 mcg fentanyl added to loca...

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Main Authors: Mostafa Abdel Hamid Abo El Enin, Ismail Ewis Amin, Ahmed Sayed Abd El Aziz, Mostafa Mohamed Mahdy, Mohamed Abdel Hamid Abo El Enin, Mostafa Mahmoud Mostafa
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=1;spage=57;epage=63;aulast=Abo
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author Mostafa Abdel Hamid Abo El Enin
Ismail Ewis Amin
Ahmed Sayed Abd El Aziz
Mostafa Mohamed Mahdy
Mohamed Abdel Hamid Abo El Enin
Mostafa Mahmoud Mostafa
author_facet Mostafa Abdel Hamid Abo El Enin
Ismail Ewis Amin
Ahmed Sayed Abd El Aziz
Mostafa Mohamed Mahdy
Mohamed Abdel Hamid Abo El Enin
Mostafa Mahmoud Mostafa
author_sort Mostafa Abdel Hamid Abo El Enin
collection DOAJ
description Forty patients ASAI, II undergoing vitrectomy due to vitreous hemorrhage not associated with retinal detach-ment were divided into two groups randomly, each of them with 20 patients. In Control group patients received local anaesthetic only, while Fentanyl group receive 20 mcg fentanyl added to local anaesthetic, the onset and duration of lid and globe akinesia were assessed at 1,3,5 and 10 min. Postoperative VAS was recorded each hour up to 6 th hour. The results show statistically significant difference between the two groups in the onset of lid akinesia. Fentanyl group had faster onset of lid akinesia and had significantly longer duration of akinesia (196.5 ± 14.24 min). There is statistically significant difference between the two groups in the onset of globe akinesia at 3, 5 min. Fentanyl group had faster onset than Control group and had longer duration of globe akinesia (294 ± 17.89 min). Fentanyl group had prolonged duration of analgesia 3.25+ 0.67 hr as compared to 1.85+ 0.67 in Control group, P=0.00 postoperatively. There were statistically significant differences between the two groups as regard the mean VAS in 1,2,3,4 hours, Fentanyl group had lower median pain score than Control group. Addition of fentanyl to local anaesthetic mixtures fasters the onset and prolong the duration of akinesia and improve quality of postoperative pain in peribulbar block.
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spelling doaj.art-3417f3d8a0f240fe8efa45bd2c4540bb2022-12-21T18:21:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492009-01-015315763Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar BlockMostafa Abdel Hamid Abo El EninIsmail Ewis AminAhmed Sayed Abd El AzizMostafa Mohamed MahdyMohamed Abdel Hamid Abo El EninMostafa Mahmoud MostafaForty patients ASAI, II undergoing vitrectomy due to vitreous hemorrhage not associated with retinal detach-ment were divided into two groups randomly, each of them with 20 patients. In Control group patients received local anaesthetic only, while Fentanyl group receive 20 mcg fentanyl added to local anaesthetic, the onset and duration of lid and globe akinesia were assessed at 1,3,5 and 10 min. Postoperative VAS was recorded each hour up to 6 th hour. The results show statistically significant difference between the two groups in the onset of lid akinesia. Fentanyl group had faster onset of lid akinesia and had significantly longer duration of akinesia (196.5 ± 14.24 min). There is statistically significant difference between the two groups in the onset of globe akinesia at 3, 5 min. Fentanyl group had faster onset than Control group and had longer duration of globe akinesia (294 ± 17.89 min). Fentanyl group had prolonged duration of analgesia 3.25+ 0.67 hr as compared to 1.85+ 0.67 in Control group, P=0.00 postoperatively. There were statistically significant differences between the two groups as regard the mean VAS in 1,2,3,4 hours, Fentanyl group had lower median pain score than Control group. Addition of fentanyl to local anaesthetic mixtures fasters the onset and prolong the duration of akinesia and improve quality of postoperative pain in peribulbar block.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=1;spage=57;epage=63;aulast=AboFentanylLocal anaestheticPeribulbar block
spellingShingle Mostafa Abdel Hamid Abo El Enin
Ismail Ewis Amin
Ahmed Sayed Abd El Aziz
Mostafa Mohamed Mahdy
Mohamed Abdel Hamid Abo El Enin
Mostafa Mahmoud Mostafa
Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block
Indian Journal of Anaesthesia
Fentanyl
Local anaesthetic
Peribulbar block
title Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block
title_full Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block
title_fullStr Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block
title_full_unstemmed Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block
title_short Effect of Fentanyl Addition to Local Anaesthetic in Peribulbar Block
title_sort effect of fentanyl addition to local anaesthetic in peribulbar block
topic Fentanyl
Local anaesthetic
Peribulbar block
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2009;volume=53;issue=1;spage=57;epage=63;aulast=Abo
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