Peribulbar Block: Lidocaine-bupivacaine vs Lidocaine-bupivacaine-fentanyl

Anesthesia With Peribulbar Block: Lidocaine-bupivacaine vs Lidocaine-bupivacaine-fentanyl

Ophthalmological procedures such as cataract extraction can be carried out with a peribulbar block (PBB). The advantages of this anesthetic technique include a lower incidence of coughing, unwanted movements and emesis during awakening, in addition to providing adequate postoperative analgesia. The researchers want to investigate whether the use of fentanyl citrate by peribulbar route, when administered with a local anesthetic, shortens the anesthetic latency, interfere with the degree of akinesia and if provides greater postoperative analgesia.

Article Type. Clinical trial study

Inclusion Criteria:

• All patients scheduled for cataract surgery (Cataract Extracapsular Extraction)
• With indication of regional anesthesia with peribulbar block
• Physical status ASA I or II
• Patients between 45 and 90 years of age

Exclusion Criteria:

• Allergic to amide-type anesthetics and fentanyl citrate
• Patients with a history of woody thorax
• Patients with uncompensated systemic diseases
• Patients in whom it was necessary to change the anesthetic technique due to insufficient analgesia or those in which the administration of intravenous analgesics was required during the operative period.