Source:http://linkedlifedata.com/resource/pubmed/id/11878728
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2002-3-6
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pubmed:abstractText |
In a single-centre, randomized, double-blind study, we compared the efficacy of 2% articaine with that of a mixture of 0.5% bupivacaine and 2% lidocaine for peribulbar anaesthesia in cataract surgery, using a single medial canthus injection technique. Eighty-two patients were allocated randomly to receive 7-9 ml of a mixture of 0.5% bupivacaine and 2% lidocaine or an equal volume of 2% articaine with 1:200,000 epinephrine. Hyaluronidase 30 iu ml(-1) was added to both solutions. The degree of akinesia was scored 1, 5 and 10 min after the block, at the end of surgery and at discharge from the day case unit. Primary outcome measures were the difference in ocular movement scores 5 min after block and the need for supplementary inferolateral injections. There was greater akinesia in the articaine group at 5 min (P=0.01). Ten patients (24%) in the articaine group and 21 patients (51%) in the bupivacaine/lidocaine group required a supplementary injection (P=0.02). The mean (SD) volume of local anaesthetic required to achieve adequate block for surgery was 9.7 (2.1) ml in the articaine group and 11.0 (2.2) ml in the bupivacaine/lidocaine group (P=0.01). There was a faster offset of akinesia after surgery in the articaine group (P=0.01). There were no differences between groups in the incidence of reported pain or of minor complications. In our study, 2% articaine with 1:200,000 epinephrine was safe and efficacious for single medial canthus peribulbar anaesthesia.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anesthetics, Combined,
http://linkedlifedata.com/resource/pubmed/chemical/Anesthetics, Local,
http://linkedlifedata.com/resource/pubmed/chemical/Bupivacaine,
http://linkedlifedata.com/resource/pubmed/chemical/Carticaine,
http://linkedlifedata.com/resource/pubmed/chemical/Epinephrine,
http://linkedlifedata.com/resource/pubmed/chemical/Lidocaine
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0007-0912
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
87
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
584-7
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:11878728-Aged,
pubmed-meshheading:11878728-Aged, 80 and over,
pubmed-meshheading:11878728-Anesthesia, Local,
pubmed-meshheading:11878728-Anesthetics, Combined,
pubmed-meshheading:11878728-Anesthetics, Local,
pubmed-meshheading:11878728-Blinking,
pubmed-meshheading:11878728-Bupivacaine,
pubmed-meshheading:11878728-Carticaine,
pubmed-meshheading:11878728-Cataract Extraction,
pubmed-meshheading:11878728-Double-Blind Method,
pubmed-meshheading:11878728-Epinephrine,
pubmed-meshheading:11878728-Eye Movements,
pubmed-meshheading:11878728-Female,
pubmed-meshheading:11878728-Humans,
pubmed-meshheading:11878728-Intraoperative Complications,
pubmed-meshheading:11878728-Lidocaine,
pubmed-meshheading:11878728-Male,
pubmed-meshheading:11878728-Middle Aged
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pubmed:year |
2001
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pubmed:articleTitle |
Comparison of articaine and bupivacaine/lidocaine for single medial canthus peribulbar anaesthesia.
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pubmed:affiliation |
Department of Anaesthesia, Royal Devon and Exeter Hospital, Exeter, UK.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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