Document Detail

Effect of pressure-reducing devices on the quality of anterior orbit anesthesia.
MedLine Citation:
PMID:  21409353     Owner:  NLM     Status:  Publisher    
Needle length is an important consideration in the safe conduct of ophthalmic blocks. A shorter needle could be used to insert the local anesthetic before the globe equator in the anterior orbit and to direct the injectable posteriorly using Honan's balloon to produce the desired effect. However, the use of pressure-reducing devices is not advisable in procedures with impaired retinal blood flow. The aim of this work was to demonstrate the effect of ocular compression with a Honan's balloon on the quality of peribulbar anesthesia when a short needle was used. The blockades were performed in 120 patients using a 27 G, half-inch-long needle. The needle was inserted into the inferotemporal quadrant adherent to the inferior orbital notch. The 7 to 10 ml of local anesthetic solution, consisting of bupivacaine 0.5%, lidocaine 2% in a ratio of 3:2 with hyaluronidase 5 U/ml, was injected followed by application of Honan's balloon or no compression. Ocular akinesia was assessed 10 min later; if inadequate, supplementary anesthesia was provided. No difference was detected in terms of volume injected, supplementation, and akinesia score. Under the conditions of this study, Honan's balloon did not contribute to the quality of the anterior orbit anesthesia, and the technique can be successfully used when ocular compression is contraindicated.
Waleed Riad
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-17
Journal Detail:
Title:  Journal of anesthesia     Volume:  -     ISSN:  1438-8359     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8905667     Medline TA:  J Anesth     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Anesthesia, King Khaled Eye Specialist Hospital, P.O. Box 7191, Riyadh, 11462, Kingdom of Saudi Arabia,
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