Safety of Low Dose Atracurium Added to Lidocaine, Bupivacaine and Hyaluronidase Mixture in Percaruncular Peribulbar Anesthesia for High Myopes Undergoing Phacoemulsification (A Randomized Controlled Trial) | ||||
| The Medical Journal of Cairo University | ||||
| Article 109, Volume 86, March, March 2018, Page 855-859 PDF (437.93 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2018.55576 | ||||
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| Authors | ||||
| MAHA M.A. MOSTAFA, M.Sc.; NAZMY E. SEIF, M.D.; MAHA M.I. YOUSSE, M.D.; MAHMOUD M. SOLIMAN, M.D.; ASHRAF M. AMIN, M.D.* | ||||
| The Departments of Anesthesia, Pain Management & Surgical ICU* and Ophthalmology**, Faculty of Medicine, Cairo University | ||||
| Abstract | ||||
| Abstract Background: The current study explored the safety of adding low dose atracurium to lidocaine, bupivacaine and hyaluronidase mixture in percaruncular peribulbar anesthesia for high myopes undergoing phacoemulsification. Methods: 82 ASA-PS I-III patients scheduled for phacoe-mulsification with high myopia were enrolled in this rand-omized controlled double-blinded trial. The enrolled patients were randomly allocated to one of two groups. Group C (n=41) received 2.5ml of lidocaine 2%, 2.5ml of bupivacaine 0.5% with hyaluronidase 15IU/ml and 1ml normal saline, while patients in Group A (n=41) received the same mixture with 5mg atracurium. Patients' hemodynamics, peripheral O2 saturation, occurrence of intraoperative pain and incidence of were recorded. Results: There were no major complications in any of the 82 cases. The incidence of minor complications between both groups were comparative. Chemosis occurred in 12.2% of Group A and in 24.3% of Group C. Sub-conjunctival hemor-rhage occurred in 4.9% of patients of both groups. Local hyperemia were only observed in Group A (7.3%) with no statistical significance. Conclusion: Adding 5mg atracurium to LA solution did not increase the incidence of complications in percaruncular block in high myopes. | ||||
| Keywords | ||||
| Lidocaine – Atracurium – Bupivacaine – Hyaluro-nidase – High myopes – Phacoemulsification | ||||
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