Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
+44 1223 790975
ISSN: 2155-9570
+44 1223 790975
Khaled Gamal Abu Eleinen, Maged Labib Boulos, Mohammed Yehia Abd El-Latif, Mahmoud Ramadan Ahmed and Abeer Shaban Goda
Cairo University, Egypt Fayoum Eye hospital, Egypt
Scientific Tracks Abstracts: JCEO
Background: To evaluate the effect of adding Peri Bulbar Block (PBB) to General Anesthesia (GA) on Oculocardiac Reflex (OCR), Blood Pressure (BP), volume concentration of isoflurane consumed during surgery, postoperative pain, nausea and vomiting in strabismus surgery Methods: 210patients undergoing unilateral squint operations were divided into 2 groups of 105 patients each. Group1 (Control group) received GA alone. Group 2 received GA with peribulbar block (PBB group). The primary outcomes were the incidence OCR, blood pressure; systolic (SBP) & diastolic (DBP). The secondary outcomes were intraoperative volume concentration of isoflurane, number of cases that needed atropine, opioids, ondansetron and ephedrine, postoperative pain scores, Post-Operative Nausea and Vomiting (PONV). Results: The incidence of OCR and PONV was significantly higher in group1 than in group2 (36.2% vs.7.6% and 41.9% vs.16.2%, respectively, p<0.0001, both), HR, systolic BP and diastolic BP were significantly lower in group1 than group2 at minute 15 and 20 (P≤0.001). Postoperative pain scores were significantly lower in group2 than group1 (P≤ 0.04). Volume concentration of isoflurane was significantly higher in group 1 than group2, p<0.0001. There was significant difference between study groups regarding intake of atropine(P<0.001), morphine(p=0.0002), ondansetron(P<0.001). Conclusions: In strabismus surgery, PBB with GA reduced the incidence of OCR intraoperative volume concentration of isoflurane and atropine, postoperative pain, PONV analgesics and antiemetics.
Khaled G Abu Eleinen is a renowned Ophthalmology Professor. Khaled G Abu Eleinen is working in Department of Ophthalmology, Faculty of Medicine, Cairo University, Egypt and Department of Ophthalmology, Fayoum eye hospital, Egypt . He has published many articles in reputed journals.