CHOICE OF ANESTHETIC AGENTS FOR PERIBULBAR ANESTHESIA

被引：18

作者：

HOUSE, PH ^{[1
]}

HOLLANDS, RH ^{[1
]}

SCHULZER, M ^{[1
]}

机构：

[1] UNIV BRITISH COLUMBIA,UNIV HOSP,DEPT OPHTHALMOL,SITE 2211 WESBROOK MALL,VANCOUVER V6T 2B5,BC,CANADA

来源：

JOURNAL OF CATARACT AND REFRACTIVE SURGERY | 1991年 / 17卷 / 01期

关键词：

BUPIVACAINE; HYALURONIDASE; LIDOCAINE; LOCAL ANESTHESIA; PERIBULBAR ANESTHESIA;

D O I：

10.1016/S0886-3350(13)80989-3

中图分类号：

R77 [眼科学];

学科分类号：

100212 ;

摘要：

To determine the effectiveness of various combinations of lidocaine, epinephrine, and hyaluronidase with bupivacaine, a prospective, randomized, masked study on 117 patients having cataract extraction under local anesthesia was undertaken. All patients were given a 9 ml peribulbar block by one surgeon, and a graded assessment of analgesia and akinesia was made in a masked fashion one hour later. A mixture using all these agents gave significantly better results than any of the combinations (P = .001). No single agent was shown to be the major determinant of effectiveness. The result suggests a synergistic effect found only when all the agents are combined.

引用

页码：80 / 83

页数：4

共 19 条

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