Indian Journal of Clinical and Experimental Ophthalmology
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2395-1443
Online ISSN: 2395-1451
CODEN : IJCEKF
Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...Original Article
Author Details :
Volume : 10, Issue : 4, Year : 2024
Article Page : 783-788
https://doi.org/10.18231/j.ijceo.2024.135
Abstract
Purpose: To compare sodium bicarbonate buffered lignocaine solution with hyaluronidase mixed with lignocaine in peribulbar anesthesia.
Introduction: Complete analgesia and akinesia are goals of any anesthetic procedure used for intraocular surgery the peribulbar technique is popular for safer approach. To achieve better efficacy of anesthesia various modifications have been made.
Hyaluronidase has been widely used in peribulbar anesthesia as it causes better absorption of anesthetic solution reducing the time of onset of anesthesia and bringing akinesia.
Recently some studies have doubted the efficiency of hyaluronidase in improving quality of anesthesia added to this cost factor of this drug, limited shelf life, and reusage in same sitting, risk of anaphylaxis due to its enzyme nature. Hence need for studying efficiency of sodium bicarbonate which is a cheaper alternative, readily in available, because of its basic nature alkalized the local anesthetic solution without risk of anaphylaxis.
Observation: The mean time for onset of total globe akinesia in group A is 4 and group B is 4.17. There was no statistical difference in two groups (p>0.05).
Conclusion: Sodium bicarbonate was shown to reduce the time of onset of block. Intraoperative analgesia is comparable in both groups, Chemosis is common complication in both groups. Sodium carbonate is cheaper alternative to hyaluronidase.
Keywords: Sodium bicarbonate, Lignocaine, Hyaluronidase, Peribulbar anesthesia.
How to cite : Unnisa R, Racha L, Sodium bicarbonate buffered lignocaine verses hyaluronidase mixed lignocaine in peribulbar anesthesia: A comparative study. Indian J Clin Exp Ophthalmol 2024;10(4):783-788
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