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

Kashyap, Anshika; Varshney, Rahul; Titiyal, Govind Singh; Sinha, Ajay

doi:10.4103/ijo.ijo_100_18

Cited by 10 publications

(4 citation statements)

References 28 publications

(33 reference statements)

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“…Pre-test where students have not been given treatment, and post-test where students have received treatment. This study used the Pythagorean theorem material (Kashyap, 2018). This test is in the form of a description because it is known that there are differences in students' answers in completing mathematics lessons, and the results of this assignment can draw several conclusions from students.…”

Section: Resultsmentioning

confidence: 99%

“…With the group investigation educational model, it is hoped that it can increase activity in communication and disposition so that students feel safe and happy when understanding mathematics education and can more quickly master the basic concepts of comparison and be able to explain them in everyday language and understand the steps for solving them. (Kashyap, 2018;Kumar, 2018). In cooperative learning, group investigation involves "choosing topics, cooperative planning, implementation, analysis, presentation, and evaluation" (Binkhathlan , 2018;Ruscio, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Experimentation of cooperative learning model with group investigation type on communication ability and mathematical disposition

Rosyid,

Wawan,

Choirudin

et al. 2023

ajst

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This study tries to see: 1) Are there differences in mathematical communication between students who use the direct learning model and students who use the cooperative learning model? 2). Is there a difference in disposition between students who use the direct learning model and students who use the cooperative learning model? A quantitative approach to the type of experimental quiz used in this study, Nonrandomized Control Group design, and Pre-Posttest Design. The population is class VIII students of SMP N 2 Pekalongan. Sixty-four students were included in the sample; 32 were in the experimental group, and 32 were in the control group. Sampling was tried by simple random sampling. The research instrument was a test of communication skills and a questionnaire on students' mathematical dispositions. Data were analyzed using MANOVA, one-way ANOVA, and paired sample t-test. After fulfilling the prerequisite tests, namely the multivariate normality test and the homogeneity of variance and covariance. According to the results of the t-test calculations for two paired samples, the value of Sig. Equal to 0.000 < 0.05. This means that Ho is rejected, and H1 is accepted. It can be concluded that there is a difference between the pre and post-test results for the experimental and control classes, as well as showing if the type of GI cooperative learning model on students' communication abilities and mathematical dispositions can increase. The Manova and Anova tests show if the Wilks' Lambda value is in the model line with Sig. 0.000 is smaller than the alpha value of 0.05, so Ho is rejected, and the two educational models do not have the same impact on students' communication abilities and dispositions. The conclusions of this research are: 1). There is a difference in communication between students using the cooperative and direct learning models. 2) There is a difference in mathematical disposition between students who use cooperative and direct learning models.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experimentation of cooperative learning model with group investigation type on communication ability and mathematical disposition

Rosyid,

Wawan,

Choirudin

et al. 2023

ajst

View full text Add to dashboard Cite

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“…Major variations in pain levels have been reported in patients undergoing consecutive cataract surgeries. [ 3 , 13 , 14 ] These variations have been associated with the patients’ ability to recall their intraoperative overall experience and the level of sedation. [ 1 – 3 , 11 ] Moreover, the level of pain experienced may have a significant impact on patients’ cooperation during surgery.…”

Section: Discussionmentioning

confidence: 99%

A prospective observational cohort study to evaluate patients’ experience during sequential cataract surgery under monitored anesthesia care and topical anesthesia

Heard¹,

Zacarias²,

Lawrence³

et al. 2020

Medicine

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Cataract surgery is the most common ambulatory surgery at our outpatient surgery center. Several studies have shown that patients with bilateral cataracts may experience different levels of anxiety, pain, and awareness during the first and second cataract extraction. A prospective observational cohort study was conducted at The Ohio State University Wexner Medical Center Eye and Ear Institute in order to compare anxiety, general comfort, awareness, and pain levels in patients undergoing sequential cataract surgeries. Likert and numerical rating scale were used to assess the outcomes. Patients receiving monitored anesthesia care and topical anesthesia were included. A total of 198 patients were enrolled in this study, 116 patients (59%) were female and 157 patients (78%) were Caucasians with a median age of 67 years among participants. Patients with rating “no anxiety” or feeling “somewhat anxious” were significantly higher during surgery 2 (P =< .001). Most of the patients felt “extremely comfortable” during surgery 1 when compared to surgery 2 (54% vs 42.9%; P = .08). No significant differences were found between surgeries regarding intraoperative awareness (P = .16). Overall, patients experienced mild pain during both procedures (92.4% in surgery 1 compared to 90.4% in surgery 2; P = .55). During the postoperative visit, 54% of the patients associated surgery 2 with less anxiety levels, 53% with no differences in general comfort, 60% felt more aware, and 59% had no differences in pain levels. Previous exposure to surgery could have been associated with a significant reduction in anxiety levels reported during surgery 2. Non-pharmacological strategies aiming to reduce perioperative anxiety may be considered an alternative or additional approach to premedication in patients undergoing consecutive cataract surgeries.

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“…Current long-acting LAs are ropivacaine and levobupivacaine. Ropivacaine is characterized by significantly lower systemic toxicity compared to bupivacaine [23].…”

mentioning

confidence: 99%

Analysis of local anesthetics side effects and determination of ways for their minimization

Щокіна,

Ткачова,

Бєлік

et al. 2024

Фармакологія та лікарська токсикологія

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According to the World Health Organization (WHO), the development of side effects of drugs is one of the serious medical problems.The relevance of this problem is proven by numerous statistical data obtained in different countries of the world. The aim of the study was to determine the assortment of local anesthetics (LAs) on the pharmaceutical market of Ukraine, to analyze the evidence base of the effectiveness and safety of modern LAs, to monitor the side effects (SEs) of LAs in Kharkiv and Kharkiv region for the period 2018–2021, and to provide recommendations for their minimization. The methods of passive pharmacovigilance, method of spontaneous reports, method of system approach and system analysis were used in the study. To analyze the clinical effectiveness and conditions of rational use of LAs, well-known data bases were used: Cochrane Library, Trip Database, and PubMed. These databases contain systematized primary or secondary information on a specific clinical issue: the effectiveness and safety of various medical technologies. The results of the analysis of the assortment of LAs on the pharmaceutical market of Ukraine showed that in 2023, based on 9 international non-patented names of LAs, 65 trade names were presented. Bupivacaine and procaine drugs (16 trade names each) and articaine drugs in combinations (13 trade names) are market leaders. The results of the analysis of notification cards with cases of SEs for 4 years revealed that the majority of them in the form of dizziness, weakness, changes in blood pressure, heart rate, edema, itching, hyperemia at the site of application were recorded when using lidocaine drugs, which are the most in demand and popular among doctors. According to the data of systematic reviews, the main directions for reducing the side effects of LAs have been established, such as administration under ultrasound control, the use of the least toxic modern anesthetics ropivacaine and levobupivacaine (not available on the Ukrainian market), the addition of substances with vasoconstrictive properties to the anesthetic solution, the use of combinations of long-acting and short-acting anesthetics. The results obtained can be used by practicing doctors and health care organizers to optimize LAs.

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

Cited by 10 publications

References 28 publications

Experimentation of cooperative learning model with group investigation type on communication ability and mathematical disposition

Experimentation of cooperative learning model with group investigation type on communication ability and mathematical disposition

A prospective observational cohort study to evaluate patients’ experience during sequential cataract surgery under monitored anesthesia care and topical anesthesia

Analysis of local anesthetics side effects and determination of ways for their minimization

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