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Evaluate ophthalmic artery flow by echo-Doppler before and after peribulbar block with lidocaine in presence or absence of epinephrine.
There are controversies regarding the ophthalmic artery (OA) flow after peribulbar block with the addition of epinephrine. Therefore, we aimed to evaluate OA flow by echo-Doppler before and after peribulbar block with lidocaine in presence or absence of epinephrine.
Fifty-six patients that were eligible for cataract phacoemulsification surgery were selected. Patients were divided into two groups: group 1 - Peribulbar block with lidocaine and 1/200.000 epinephrine; group 2 - Peribulbar block with lidocaine in the absence of epinephrine. The resistance index (RI) of OA was evaluated using echo-Doppler before and 10 min after the peribulbar block.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lidocaine with epinephrine | Experimental | Peribulbar anesthesia with lidocaine and epinephrine |
|
| Lidocaine without epinephrine | No Intervention | Peribulbar anesthesia with lidocaine |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Epinephrine | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Artery resistance index of ophthalmic artery | The resistance index (RI) of OA was evaluated using echo-Doppler before and 10 minutes after the peribulbar block. | Change on resistance index 10 minutes after peribulbar anesthesia |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Cirurgia. | Belo Horizonte | Minas Gerais | 30130100 | Brazil |
The data will be present at an official journal
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| ID | Term |
|---|---|
| D004837 | Epinephrine |
| ID | Term |
|---|---|
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
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Group 1: Peribulbar anesthesia with 2% lidocaine with epinephrine 1/200,000.
Group 2: Peribulbar anesthesia with 2% lidocaine without epinephrine.
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The preparation of the syringes was performed by one of the researchers not involved in the execution of the blockades. The same anesthesiologist performed all the blocks, while the same ophthalmologist did the ocular monitoring measures.
| D000588 |
| Amines |
| D015306 | Biogenic Monoamines |
| D001679 | Biogenic Amines |
| D002395 | Catecholamines |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |