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ANALGESIA

Single Injection Peribulbar Anesthesia with a Short Needle Combined with Digital Compression

From the Department of Anaesthesia, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Address correspondence to Dr Waleed Riad, Department of Anaesthesia, King Khaled Eye Specialist Hospital, P.O. Box 7191, Riyadh 11462, Kingdom of Saudi Arabia. Address e-mail to waleed_riad{at}yahoo.com.

Abstract

BACKGROUND: We compare the efficacy of using a 15 mm to the standard 25 mm needle for performing peribulbar blockade.

METHODS: Blocks were performed on 150 patients using 15 or 25 mm needle length. Digital compression was applied by the thumb and index finger around the needle hub during injection with 15 mm needle. Anesthetic was injected until lid fullness was noted. Inadequate block was augmented.

RESULTS: No significant differences were noted between groups with respect to local anesthetic volume, supplementation, and akinesia.

CONCLUSION: Peribulbar blockade performed with a 15 mm needle with digital pressure is comparable to blockade using a 25 mm needle.

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				A. M. Ghali and A. Hafez Single-Injection Percutaneous Peribulbar Anesthesia with a Short Needle as an Alternative to the Double-Injection Technique for Cataract Extraction Anesth. Analg., January 1, 2010; 110(1): 245 - 247. [Abstract] [Full Text] [PDF]