Efficacy of varying concentrations of hyaluronidase in peribulbar anaesthesia.

Abstract:

:We have compared the efficacy of adding varying concentrations of hyaluronidase to a standard mixture of 2% lidocaine and 1% ropivacaine to provide peribulbar anaesthesia for cataract surgery. We used (i) the time to adequate anaesthesia for surgery and (ii) ocular and eyelid movement scores at 8 min after block as clinical endpoints. Ninety patients were randomly allocated to receive 7-10 ml of equal volumes of 2% lidocaine and 1% ropivacaine without hyaluronidase or with hyaluronidase 15 IU ml(-1) or 150 IU ml(-1). Median time at which the block was adequate for surgery was 6 min in all groups (interquartile range 4-12 min). Median eyelid movement scores were similar in all groups, but the ocular movement scores at 8 min were significantly lower in the group which received hyaluronidase 150 IU ml(-1) than in the group not given hyaluronidase (P<0.03). There were no differences between groups in the incidence of minor complications. A high concentration of hyaluronidase resulted in a statistically significantly lower ocular movement score at 8 min; the clinical relevance of this finding is uncertain.

journal_name

Br J Anaesth

authors

Mantovani C,Bryant AE,Nicholson G

doi

10.1093/bja/86.6.876

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

876-8

issue

6

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)36379-1

journal_volume

86

pub_type

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