Peribulbar anaesthesia using a mixture of local anaesthetic and vecuronium.

Abstract:

:The aim of this double-blind, randomised study was to assess the effects of the addition of 0.5 mg of vecuronium bromide to a standard local anaesthetic mixture used for peribulbar anaesthesia. We studied 60 patients undergoing regional anaesthesia for intra-ocular surgery and were primarily interested in the quality of globe and lid akinesia. All received a mixture of 5 ml 2% lignocaine with 1:200,000 adrenaline, 5 ml 0.75% bupivacaine and 150 IU hyaluronidase with either 0.9% saline 0.25 ml (group A, n = 30) or vecuronium bromide 0.25 ml (0.5 mg) (group B, n = 30). Eye movements assessed at both 5 and 10 min were significantly reduced in the vecuronium group (group B) (p < 0.05). We conclude that the addition of vecuronium at a dose of 0.5 mg to the standard local anaesthetic mixture improves the quality of globe and lid akinesia.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Reah G,Bodenham AR,Braithwaite P,Esmond J,Menage MJ

doi

10.1046/j.1365-2044.1998.00433.x

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

551-4

issue

6

eissn

0003-2409

issn

1365-2044

journal_volume

53

pub_type

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