• J Fr Ophtalmol · Nov 2003

    Randomized Controlled Trial Comparative Study Clinical Trial

    [Peribulbar anesthesia: comparing 1% ropivacaine and a mixture of 0.5% bupivacaine--2% lidocaine].

    • L Belyamani, M Kriet, A Laktaoui, H Azendour, M Drissi, C H Haimeur, N K Drissi, A Terhazaz, and M Atmani.
    • Service d'Anesthésie Réanimation, Hôpital Militarie Mohamed V, Rabat, Maroc. lbelyamani@hotmail.com
    • J Fr Ophtalmol. 2003 Nov 1;26(9):953-6.

    PurposeTo compare the efficacy of 1% ropivacaine with a mixture of 0.5% bupivacaine and 2% lidocaine in peribulbar anesthesia for elective cataract surgery.Material And MethodsProspective double-blinded study, enrolling 100 patients randomly assigned to two different groups. Group 1 received 9 ml of 1% ropivacaine and group 2 received 4.5 ml of 0.5% bupivacaine and 4.5 ml of 2% lidocaine. Both groups received 1 ml of hyaluronidase to reach a total volume of 10 ml.Results And ConclusionNo difference between the groups was noted during the study regarding not only onset time, but also the duration of anesthesia and perioperative analgesia. A greater incidence of pain on injection was significantly reported in group 2 (p<0.001). Patients in group 1 had less need for top-up injection and showed better ocular akinesia (p<0.01).

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