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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 LB | Experimental | Peribulbar block 1 was performed received 100 mg of lidocaine 5% and 15 mg of bupivacaine 0.5% for a total volume of the anesthetic mixture of 5 ml |
|
| Group 2 LBF | Experimental | Peribulbar block 2 was performed received 100 mg of lidocaine 5%, 15 mg of 0.5% bupivacaine and 50 mcg of fentanyl citrate for a total volume of the anesthetic mixture of 6 ml. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| peribulbar block 1 lidocaine/bupivacaine | Drug | Peribulbar block: 100 mg of lidocaine 5% and 15 mg of bupivacaine 0.5% for a total volume of the anesthetic mixture of 5 ml. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Latency period (lost of corneal reflex) | lost of corneal reflex | 10 minutes until the start of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Ocular akinesia: movements of extraocular muscles | movements of extraocular muscles | 10 minutes until the start of surgery |
| Incidence of postoperative pain | Analogous visual scale |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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|
| peribulbar block 2 lidocaine/bupivacaine/fentanyl | Drug | Peribulbar block: 100 mg of lidocaine 5%, 15 mg of 0.5% bupivacaine and 50 mcg of fentanyl citrate for a total volume of the anesthetic mixture of 6 ml. |
|
|
| 2 Hours |
| postoperative complications | bleeding or bruise | 2 hours |
| D000588 |
| Amines |
| D000083 | Acetanilides |