A comparison of retrobulbar block, sub- Tenon block, and topical anesthesia during cataract surgery

Jung Hee Ryu, Minsuk Kim, Jae-Hyon Bahk, Sanghwan Do, Il Young Cheong, Yong Chul Kim

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Purpose. This randomized, double-blinded, prospective study was performed to compare the intraoperative hemodynamic variables and the patient-reported outcomes, such as intra- and postoperative analgesia and patient satisfaction, of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgery under monitored anesthesia care. Methods. Eighty-one patients, ASA physical status I-III, undergoing elective cataract surgery under monitored anesthesia care, aged between 43 and 78 years, were randomly assigned to three groups: retrobulbar block (group R), sub-Tenon block (group S), or topical anesthesia (group T). Three minutes after the start of monitored anesthesia care with lidocaine-propofol-remifentanil mixture, an ophthalmologist performed regional anesthesia. Intraoperative hemodynamics, pain score, and patients' satisfaction with the anesthetic experiences were recorded by a study-blinded anesthesiologist. Results. Mean arterial pressure and heart rate in group R were significantly higher than those in groups S and T during and just after the regional block (p<0.05). Group R required smaller dosage of patient controlled sedation and fewer supplemental bolus doses than groups S and T (p<0.05). On the other hand, group S showed the highest satisfaction scores among the three groups (p<0.05). Conclusions. Sub-Tenon block seems to be better than retrobulbar block and topical anesthesia in patient satisfaction though adequate analgesia was achieved after retrobulbar block during cataract surgery under monitored anesthesia care.

Original languageEnglish
Pages (from-to)240-246
Number of pages7
JournalEuropean Journal of Ophthalmology
Volume19
Issue number2
StatePublished - 15 Sep 2009

Fingerprint

Cataract
Anesthesia
Patient Satisfaction
Analgesia
Hemodynamics
Conduction Anesthesia
Propofol
Lidocaine
Anesthetics
Arterial Pressure
Heart Rate
Prospective Studies
Pain

Keywords

  • Analgesia
  • Cataract surgery
  • Patient satisfaction
  • Retrobulbar block
  • Sub-Tenon block
  • Topical anesthesia

Cite this

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title = "A comparison of retrobulbar block, sub- Tenon block, and topical anesthesia during cataract surgery",
abstract = "Purpose. This randomized, double-blinded, prospective study was performed to compare the intraoperative hemodynamic variables and the patient-reported outcomes, such as intra- and postoperative analgesia and patient satisfaction, of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgery under monitored anesthesia care. Methods. Eighty-one patients, ASA physical status I-III, undergoing elective cataract surgery under monitored anesthesia care, aged between 43 and 78 years, were randomly assigned to three groups: retrobulbar block (group R), sub-Tenon block (group S), or topical anesthesia (group T). Three minutes after the start of monitored anesthesia care with lidocaine-propofol-remifentanil mixture, an ophthalmologist performed regional anesthesia. Intraoperative hemodynamics, pain score, and patients' satisfaction with the anesthetic experiences were recorded by a study-blinded anesthesiologist. Results. Mean arterial pressure and heart rate in group R were significantly higher than those in groups S and T during and just after the regional block (p<0.05). Group R required smaller dosage of patient controlled sedation and fewer supplemental bolus doses than groups S and T (p<0.05). On the other hand, group S showed the highest satisfaction scores among the three groups (p<0.05). Conclusions. Sub-Tenon block seems to be better than retrobulbar block and topical anesthesia in patient satisfaction though adequate analgesia was achieved after retrobulbar block during cataract surgery under monitored anesthesia care.",
keywords = "Analgesia, Cataract surgery, Patient satisfaction, Retrobulbar block, Sub-Tenon block, Topical anesthesia",
author = "Ryu, {Jung Hee} and Minsuk Kim and Jae-Hyon Bahk and Sanghwan Do and Cheong, {Il Young} and Kim, {Yong Chul}",
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A comparison of retrobulbar block, sub- Tenon block, and topical anesthesia during cataract surgery. / Ryu, Jung Hee; Kim, Minsuk; Bahk, Jae-Hyon; Do, Sanghwan; Cheong, Il Young; Kim, Yong Chul.

In: European Journal of Ophthalmology, Vol. 19, No. 2, 15.09.2009, p. 240-246.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A comparison of retrobulbar block, sub- Tenon block, and topical anesthesia during cataract surgery

AU - Ryu, Jung Hee

AU - Kim, Minsuk

AU - Bahk, Jae-Hyon

AU - Do, Sanghwan

AU - Cheong, Il Young

AU - Kim, Yong Chul

PY - 2009/9/15

Y1 - 2009/9/15

N2 - Purpose. This randomized, double-blinded, prospective study was performed to compare the intraoperative hemodynamic variables and the patient-reported outcomes, such as intra- and postoperative analgesia and patient satisfaction, of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgery under monitored anesthesia care. Methods. Eighty-one patients, ASA physical status I-III, undergoing elective cataract surgery under monitored anesthesia care, aged between 43 and 78 years, were randomly assigned to three groups: retrobulbar block (group R), sub-Tenon block (group S), or topical anesthesia (group T). Three minutes after the start of monitored anesthesia care with lidocaine-propofol-remifentanil mixture, an ophthalmologist performed regional anesthesia. Intraoperative hemodynamics, pain score, and patients' satisfaction with the anesthetic experiences were recorded by a study-blinded anesthesiologist. Results. Mean arterial pressure and heart rate in group R were significantly higher than those in groups S and T during and just after the regional block (p<0.05). Group R required smaller dosage of patient controlled sedation and fewer supplemental bolus doses than groups S and T (p<0.05). On the other hand, group S showed the highest satisfaction scores among the three groups (p<0.05). Conclusions. Sub-Tenon block seems to be better than retrobulbar block and topical anesthesia in patient satisfaction though adequate analgesia was achieved after retrobulbar block during cataract surgery under monitored anesthesia care.

AB - Purpose. This randomized, double-blinded, prospective study was performed to compare the intraoperative hemodynamic variables and the patient-reported outcomes, such as intra- and postoperative analgesia and patient satisfaction, of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgery under monitored anesthesia care. Methods. Eighty-one patients, ASA physical status I-III, undergoing elective cataract surgery under monitored anesthesia care, aged between 43 and 78 years, were randomly assigned to three groups: retrobulbar block (group R), sub-Tenon block (group S), or topical anesthesia (group T). Three minutes after the start of monitored anesthesia care with lidocaine-propofol-remifentanil mixture, an ophthalmologist performed regional anesthesia. Intraoperative hemodynamics, pain score, and patients' satisfaction with the anesthetic experiences were recorded by a study-blinded anesthesiologist. Results. Mean arterial pressure and heart rate in group R were significantly higher than those in groups S and T during and just after the regional block (p<0.05). Group R required smaller dosage of patient controlled sedation and fewer supplemental bolus doses than groups S and T (p<0.05). On the other hand, group S showed the highest satisfaction scores among the three groups (p<0.05). Conclusions. Sub-Tenon block seems to be better than retrobulbar block and topical anesthesia in patient satisfaction though adequate analgesia was achieved after retrobulbar block during cataract surgery under monitored anesthesia care.

KW - Analgesia

KW - Cataract surgery

KW - Patient satisfaction

KW - Retrobulbar block

KW - Sub-Tenon block

KW - Topical anesthesia

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