Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts
Purpose. Currently cataract surgery is a high-tech procedure that is usually performed on an outpatient basis under local anesthesia. To perform anesthesia, novocaine, lidocaine, bupivokaine, and others are used. The recently published articles suggest a ropivacaine as a new anesthetic in ophthal...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Ophthalmology Publishing Group
2018-07-01
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| Series: | Oftalʹmologiâ |
| Subjects: | |
| Online Access: | https://www.ophthalmojournal.com/opht/article/view/600 |
| _version_ | 1797875477172453376 |
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| author | A. L. Onischenko A. S. Popova A. V. Kolbasko A. Y. Vlasenko |
| author_facet | A. L. Onischenko A. S. Popova A. V. Kolbasko A. Y. Vlasenko |
| author_sort | A. L. Onischenko |
| collection | DOAJ |
| description | Purpose. Currently cataract surgery is a high-tech procedure that is usually performed on an outpatient basis under local anesthesia. To perform anesthesia, novocaine, lidocaine, bupivokaine, and others are used. The recently published articles suggest a ropivacaine as a new anesthetic in ophthalmology. In connection with this, the purpose of the present paper was to study the efficacy of ropivacaine in subtenon anesthesia with Phaco.Patients and methods. We have examined 318 patients (318 eyes) with age-related cataracts, which have been operated by Phaco on the “Infinity” (“Alcon”) device using standard methods. During the operation, 156 patients have been under subtenon anesthesia by administering 1.5 ml of ropivacaine solution (0.75 mg/ml). 162 patients underwent subtenon anesthesia with 1.5 ml of a 1% solution of lidocaine. The distribution of patients by groups was carried out using a random number generator. Results. 144 patients did not feel pain during the operation. Among them, most patients were anesthetized with ropivacaine (68%). Only 32% of patients operated with lidocaine anesthesia did not feel pain (p < 0.05). Ropivacaine anesthesia had pain intensity averaged 2.1 ± 1.6 points, median 2 points (1–2), lidocaine –3.1 ± 1.5 points, median 3 points (2–4) (U = 4,714, p < 0.001). The risk of pain syndrome when using lidocaine in comparison with ropivacaine is twice as high. We have found that the intensity of pain during Phaco surgery did not have gender and age differences. There was no dependence of the pain syndrome on the predominant type of cataract — cortical (n = 181) or nuclear (137) ((χ2 = 1.066, p = 0.302), as well as the cataract stage. |
| first_indexed | 2024-04-10T01:48:08Z |
| format | Article |
| id | doaj.art-c0b8c812ad5e44e5b7770b21cd31166f |
| institution | Directory Open Access Journal |
| issn | 1816-5095 2500-0845 |
| language | Russian |
| last_indexed | 2024-04-10T01:48:08Z |
| publishDate | 2018-07-01 |
| publisher | Ophthalmology Publishing Group |
| record_format | Article |
| series | Oftalʹmologiâ |
| spelling | doaj.art-c0b8c812ad5e44e5b7770b21cd31166f2023-03-13T09:08:38ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452018-07-0115214615010.18008/1816-5095-2018-2-146-150395Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of CataractsA. L. Onischenko0A. S. Popova1A. V. Kolbasko2A. Y. Vlasenko3Новокузнецкий государственный институт усовершенствования врачей — филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииНовокузнецкий государственный институт усовершенствования врачей — филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииНовокузнецкий государственный институт усовершенствования врачей — филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииНовокузнецкий государственный институт усовершенствования врачей — филиал ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской ФедерацииPurpose. Currently cataract surgery is a high-tech procedure that is usually performed on an outpatient basis under local anesthesia. To perform anesthesia, novocaine, lidocaine, bupivokaine, and others are used. The recently published articles suggest a ropivacaine as a new anesthetic in ophthalmology. In connection with this, the purpose of the present paper was to study the efficacy of ropivacaine in subtenon anesthesia with Phaco.Patients and methods. We have examined 318 patients (318 eyes) with age-related cataracts, which have been operated by Phaco on the “Infinity” (“Alcon”) device using standard methods. During the operation, 156 patients have been under subtenon anesthesia by administering 1.5 ml of ropivacaine solution (0.75 mg/ml). 162 patients underwent subtenon anesthesia with 1.5 ml of a 1% solution of lidocaine. The distribution of patients by groups was carried out using a random number generator. Results. 144 patients did not feel pain during the operation. Among them, most patients were anesthetized with ropivacaine (68%). Only 32% of patients operated with lidocaine anesthesia did not feel pain (p < 0.05). Ropivacaine anesthesia had pain intensity averaged 2.1 ± 1.6 points, median 2 points (1–2), lidocaine –3.1 ± 1.5 points, median 3 points (2–4) (U = 4,714, p < 0.001). The risk of pain syndrome when using lidocaine in comparison with ropivacaine is twice as high. We have found that the intensity of pain during Phaco surgery did not have gender and age differences. There was no dependence of the pain syndrome on the predominant type of cataract — cortical (n = 181) or nuclear (137) ((χ2 = 1.066, p = 0.302), as well as the cataract stage.https://www.ophthalmojournal.com/opht/article/view/600факоэмульсификация катарактыобезболиваниесубтенонова анестезиябольропивакаин |
| spellingShingle | A. L. Onischenko A. S. Popova A. V. Kolbasko A. Y. Vlasenko Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts Oftalʹmologiâ факоэмульсификация катаракты обезболивание субтенонова анестезия боль ропивакаин |
| title | Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts |
| title_full | Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts |
| title_fullStr | Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts |
| title_full_unstemmed | Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts |
| title_short | Comparative Effectiveness of Anesthetics Subtenon Injection in Phacoemulsification of Cataracts |
| title_sort | comparative effectiveness of anesthetics subtenon injection in phacoemulsification of cataracts |
| topic | факоэмульсификация катаракты обезболивание субтенонова анестезия боль ропивакаин |
| url | https://www.ophthalmojournal.com/opht/article/view/600 |
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