Comparison of peribulbar block and subtenon infiltration in pediatric enucleation for retinoblastoma
Rattachement africain : us, gb, in. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Purpose: Enucleation performed in children with retinoblastoma is associated with severe postoperative pain. The use of opioids for the pain is associated with numerous complications which demand careful monitoring. Subtenon infiltration and peribulbar block are useful in ameliorating pain perioperatively following various ophthalmic surgeries which are yet to be evaluated in enucleation. Therefore, we designed this study to compare the effects of peribulbar block and subtenon infiltration on postoperative pain with opioids in pediatric enucleation surgeries. Methods: 60 children of American Society of Anesthesiologists grade I and II, age ranging from 6 months to 6 years with retinoblastoma undergoing enucleation surgery were included in the study. Group A (n = 20): received peribulbar block (peribulbar group); Group B (n = 20): received subtenon local infiltration (subtenon group); and Group C (n = 20): no block was given. Results: The postoperative fentanyl consumption was lowest with Group B compared to Group A and Group C (P value 0.001). However, the total fentanyl consumption was comparable between groups A and B, while it was significantly higher in the control group. The mean pain score face, legs, activity, cry, consolability (FLACC) scale and mean time to discharge from post anesthesia care unit were lowest in Group B followed by Group A, while Group C had the highest. There was no statistically significant difference among the 3 groups with regards to side effects. Conclusion: Subtenon infiltration showed significantly better outcomes when compared to peribulbar block and intravenous opioids alone without any untoward adverse effects.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Comparison of peribulbar block and subtenon infiltration in pediatric enucleation for retinoblastoma
- Date Crossref
- 23/07/2021
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Creative Commons pays non établi dans la noticeOrganisation à but non lucratif
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University Hospitals of Derby and Burton NHS Foundation Trust pays non établi dans la noticeÉtablissement de santé
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Jawaharlal Institute of Post Graduate Medical Education and Research pays non établi dans la noticeUniversité ou école supérieure
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All India Institute of Medical Sciences Dr. Rajendra Prasad Centre for Ophthalmic Sciences pays non établi dans la noticeUniversité ou école supérieure
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University Hospitals of Derby and Burton NHS FT pays non établi dans la noticeUniversité ou école supérieure
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New Delhi pays non établi dans la noticeInstitution
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Puducherry pays non établi dans la noticeInstitution
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Jawaharlal Institute of Postgraduate Medical Education and Research pays non établi dans la noticeStructure de recherche
Creative Commons, University Hospitals of Derby and Burton NHS Foundation Trust et Jawaharlal Institute of Post Graduate Medical Education and Research, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.