Bupivacaine and lidocaine retrobulbar anesthesia. A double-blind clinical study.

Abstract:

:Bupivacaine 0.75% with epinephrine and/or hyaluronidase and lidocaine 2% with epinephrine and hyaluronidase were compared as to onset and duration of surgical anesthesia and akinesia in a prospective, randomized, double-blind study in 111 patients undergoing 128 elective intraocular surgical procedures. There was no significant difference in onset time to adequate surgical anesthesia among any of the drug groups at 15 minutes following retrobulbar injection, but the bupivacaine with epinephrine group lagged for akinesia. Mean duration of akinesia was 11 hours for the bupivacaine groups compared to four hours for lidocaine. During the eight hours following surgery, 70-90% of the patients receiving bupivacaine required no postoperative analgesia compared to less than 40% of the lidocaine group. There were no drug-related complications.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Chin GN,Almquist HT

doi

10.1016/s0161-6420(83)34560-7

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

369-72

issue

4

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(83)34560-7

journal_volume

90

pub_type

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