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Eye surgeries are traditionally performed under local anaesthesia with a peribulbar block. This is a blind technique where local anaesthetic is injected into the back of the eye to make the eye numb and motionless for surgery. This is a blind injection and can be associated with complications such as bleeding, rupture of eye globe, blindness, increasing the pressure of the eye etc. It also has a high failure rate resulting in need for additional injections, further exposing the patient to possible complications. The investigators propose to perform the peribulbar block with ultrasound to guide the block needle placement and injection. The investigators hypothesize that ultrasound guided peribulbar blocks would have higher success rate (less need for additional injections) and that the total amount of local anaesthetics used would be decreased.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Traditional blind peribulbar block | Active Comparator |
| |
| Ultrasound-guided peribulbar block | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Local Anaesthetic Injection | Procedure | Local anaesthetic is injected into the eye. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Failure of peribulbar block | Ocular Anaesthetic Scoring System (OASS) score of less than 10 will be considered inadequate for surgery and a block failure. | 10 minutes after block performed |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of the block | Quality of the block based on the OASS score will be classified as poor (0-3), average (4-9) and good (10-14). | 5 and 10 min after block performed |
| Incidence of Supplemental Peribulbar injections |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sunnybrook Health Sciences Centre | Toronto | Ontario | M4N 3M5 | Canada |
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| ID | Term |
|---|---|
| D000772 | Anesthesia, Local |
| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Ultrasound-Guidance | Procedure | Device: Ultrasound Machine Peribulbar block local anaesthetic is injected into the eye with ultrasound guidance. |
|
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To determine incidence of additional peribulbar injections after failure of original block as determined preoperatively by the anaesthetist or intraoperatively by the surgeon.
| Operative day 0 |
| Volume of Total Local Anaesthetic Used | The total volume of local anaesthetic used for peribulbar block preoperatively and intraoperatively. | Operative day 0 |