Anestesia tópica associada à sedação para facoemulsificação: experiência com 312 pacientes

Bertrand, Romero Henrique Carvalho; Garcia, João Batista Santos; Oliveira, Clair Motos de; Bertrand, Adriana Leite Xavier

doi:10.1590/s0034-70942008000100004

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…Nowadays, topical anesthesia can be achieved using anesthetic agents as drops, gel, or associated or not with intracameral anesthetics or sedation. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

Comparison between ropivacaine and bupivacaine in deep topical fornix nerve block anesthesia in patients undergoing cataract surgery by phacoemulsification

Kashyap

Varshney

Titiyal

et al. 2018

Indian J Ophthalmol

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Purpose:In this study, we intend to analyze ropivacaine and bupivacaine in various parameters during phacoemulsification under deep topical fornix nerve block (DTFNB), a known form of nerve block for phacoemulsification.Methods:This prospective randomized study was conducted on 100 patients undergoing elective cataract surgery by phacoemulsification under DTFNB. Patients were divided into two equal groups of fifty patients each, Groups B (bupivacaine) and Group R (ropivacaine). Two sponges, approximately 2 mm × 3 mm dimensions, saturated with either 0.5% bupivacaine or 0.75% ropivacaine were placed deep in the conjunctival fornices to perform the deep topical block. Both groups were evaluated for magnitude of pain and discomfort at various stages of phacoemulsification using a simple pain scoring system. The level of surgeon satisfaction, requirement for supplementary anesthesia, and surgical complications were also evaluated. Quantitative variables between the two groups were compared using unpaired t-test. Qualitative variables were correlated using Chi-square test.Results:Overall demographic parameters of patients were similar in both groups. Similar mean pain scores were found in the ropivacaine and bupivacaine groups, with no statistical significance. Surgical satisfaction and the need for supplemental anesthesia were also statistically insignificant.Conclusion:Ropivacaine is a good alternative for deep topical anesthesia as it has a better safety margin and lesser toxic effect than other comparable local anesthetic agents.

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“…Nowadays, topical anesthesia can be achieved using anesthetic agents as drops, gel, or associated or not with intracameral anesthetics or sedation. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

Comparison between ropivacaine and bupivacaine in deep topical fornix nerve block anesthesia in patients undergoing cataract surgery by phacoemulsification

Kashyap

Varshney

Titiyal

et al. 2018

Indian J Ophthalmol

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show abstract

“… 1 , 2 , 3 The preferred form of anesthesia for this surgery is topical anesthesia with or without conscious sedation. 4 , 5 …”

Section: Introductionmentioning

confidence: 99%

“…Most ophthalmologists 17 and anesthesiologists 18 are aware of cataract patients’ intraoperative visual sensations and their associated psychological effects and have used measures such as preoperative counseling, 19 music, 15 and intraoperative sedation to minimize their impact. 5 , 20 , 21 Midazolam, a benzodiazepine, is the most commonly used sedative and its high lipid solubility results in a rapid onset of action and clearance. There have been conflicting reports regarding the effectiveness of midazolam in alleviating unpleasant patient experiences during phacoemulsification under topical anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Effect of intravenous sedation on patients’ visual experience and vital signs during cataract surgery under topical anesthesia: A randomized controlled trial

Venkatesh

Hemal

Sengupta

et al. 2021

Advances in Ophthalmology Practice and Research

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Anestesia tópica associada à sedação para facoemulsificação: experiência com 312 pacientes

Abstract: CONCLUSÕES:A anestesia tópica com sedação em pacientes submetidos a operações de catarata por facoemulsificação, neste estudo, demonstrou eficácia, fácil aplicação e complicações mínimas.

Cited by 2 publications

References 30 publications

Comparison between ropivacaine and bupivacaine in deep topical fornix nerve block anesthesia in patients undergoing cataract surgery by phacoemulsification

Comparison between ropivacaine and bupivacaine in deep topical fornix nerve block anesthesia in patients undergoing cataract surgery by phacoemulsification

Effect of intravenous sedation on patients’ visual experience and vital signs during cataract surgery under topical anesthesia: A randomized controlled trial

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