The effects of volume and speed of injection in peribulbar anaesthesia

Anaesthesia
T GillartP Schoeffler

Abstract

We have evaluated the effects of the volume and speed of administration of local anaesthetic during peribulbar anaesthesia. One hundred and forty patients scheduled for cataract surgery were randomly allocated to one of four groups of 35. Each patient received an injection of the same mixture of lignocaine, bupivacaine and hyaluronidase. Patients in group A were given 9 ml at a speed of 5 ml.min-1, group B were given the same volume at 12 ml.min-1, group C were given 13.5 ml at 5 ml.min-1 and group D were given 13.5 ml at 12 ml.min-1. A significantly higher incidence of satisfactory akinesia was found in group D, whose pain score at injection was no higher than for the other groups. Large volumes of local anaesthetic significantly affected intra-ocular pressure. The incidences of early and late ptosis or diplopia were not affected by either the rate of injection or the volume of local anaesthetic.

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Citations

May 2, 2002·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jacqueline K L HuiPatrick K K Lam
Jun 18, 1999·American Journal of Ophthalmology·O FindlL Schmetterer
Sep 7, 1999·Journal of Cataract and Refractive Surgery·Y TokudaJ Inouye
Oct 21, 2000·Eye·A J BurtonT W Metcalfe
Aug 23, 2002·Anaesthesia·P J Hodges, P C A Kam
Sep 1, 2000·The British Journal of Ophthalmology·M C MinasianC C Davey
Mar 26, 2003·Anesthesia and Analgesia·Leopold H J EberhartWulf Seeling
Jun 15, 2013·Clinical Ophthalmology·Lindsay A McGrath, Christopher P Bradshaw
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Oct 5, 2006·Current Opinion in Anaesthesiology·Thierry GillartIsabelle Curt
Aug 11, 2011·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Reda A Mahdy, Mohamed T Ghanem
Jul 1, 2010·Retinal Cases & Brief Reports·Brighu N SwamyAlex Hunyor
Nov 14, 2008·Journal of Cataract and Refractive Surgery·Matthias RemyCarl-Ludwig Schönfeld
Dec 4, 2015·Current Opinion in Ophthalmology·Kyle J GodfreyDon O Kikkawa
Sep 13, 2003·Anaesthesia·K Jenkins, A B Baker
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Mar 3, 2010·Anaesthesia and Intensive Care·T H K WongT Gin
Mar 16, 2005·Journal français d'ophtalmologie·D A Lebuisson, M-C Jolivet

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