Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
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Randomized Controlled Trial Clinical Trial
Subtenons lidocaine injection for postoperative pain relief after strabismus surgery in children: a pilot study.
Ophthalmologists are now encouraged to perform strabismus surgery as an outpatient procedure, but postoperative pain may be a barrier to discharge. Systemic analgesics have side effects or are contraindicated in some patients. We designed a trial to determine the efficacy of subtenons lidocaine injection at reducing postoperative pain and systemic analgesia requirements. ⋯ These data provide some evidence of an association between the use of subtenons lidocaine injection and a reduction of pain experienced by children in the immediate postoperative period following primary strabismus surgery.
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Case Reports
Hypotension and bradycardia in infants after the use of topical brimonidine and beta-blockers.
Brimonidine is a selective alpha-2 adrenergic agonist used to treat glaucoma. There have been several reports of central nervous system depression after its use in infants. We observed rapid-onset bradycardia and decreased blood pressure in addition to central nervous system depression in 2 infants who received concomitant topical brimonidine and beta-blockers.