Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1996-8-6
|
pubmed:abstractText |
Peribulbar anaesthesia is a useful regional anaesthesia and akinesia technique for eye surgery. We studied changes in muscular akinesia and intraocular pressure under peribulbar anaesthesia caused by different volumes of 0.75% bupivacaine with or without the addition of Thiomucase (chondroitin sulphatase) in patients undergoing cataract surgery. A total of 120 patients were randomly allocated into four groups: group 1, bupivacaine 5 mL; group 2, bupivacaine 5 mL plus Thiomucase 10 U mL-1; group 3, bupivacaine 9 mL; group 4, bupivacaine 9 mL plus Thiomucase 10 U mL-1. We assessed: (1) akinesia according to mobility in the four quadrants of the eyeball and the palpebral opening using a scoring system between 0 (total akinesia) and 10 (full movement); and (2) intraocular pressure before, immediately after and 15 min after peribulbar anaesthesia. A significantly better motor blockade was observed in groups 2, 3 and 4 than in group 1 (P < 0.05). Thiomucase increased the quality of motor blockade in group 2, but not in group 4. Intraocular pressure increased by 5-10 mmHg in comparison with baseline values and, after 15 min application of Honan's balloon, decreased by 8-10 mmHg in comparison with baseline values, with no significant differences between groups. Thiomucase can improve the motor block if a lower volume of local anaesthetic is used. The administration of 5 or 9 mL volumes or the addition of Thiomucase decreases the the intraocular pressure in a similar way.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anesthetics, Local,
http://linkedlifedata.com/resource/pubmed/chemical/Bupivacaine,
http://linkedlifedata.com/resource/pubmed/chemical/Chondroitinsulfatases,
http://linkedlifedata.com/resource/pubmed/chemical/Glucuronidase,
http://linkedlifedata.com/resource/pubmed/chemical/Lyases,
http://linkedlifedata.com/resource/pubmed/chemical/mucopolysaccharidase
|
pubmed:status |
MEDLINE
|
pubmed:month |
Nov
|
pubmed:issn |
0265-0215
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
12
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
603-7
|
pubmed:dateRevised |
2006-11-15
|
pubmed:meshHeading |
pubmed-meshheading:8665884-Aged,
pubmed-meshheading:8665884-Anesthesia, Conduction,
pubmed-meshheading:8665884-Anesthetics, Local,
pubmed-meshheading:8665884-Bupivacaine,
pubmed-meshheading:8665884-Cataract Extraction,
pubmed-meshheading:8665884-Chondroitinsulfatases,
pubmed-meshheading:8665884-Eye,
pubmed-meshheading:8665884-Eyelids,
pubmed-meshheading:8665884-Female,
pubmed-meshheading:8665884-Glucuronidase,
pubmed-meshheading:8665884-Humans,
pubmed-meshheading:8665884-Injections, Subcutaneous,
pubmed-meshheading:8665884-Intraocular Pressure,
pubmed-meshheading:8665884-Lyases,
pubmed-meshheading:8665884-Male,
pubmed-meshheading:8665884-Movement,
pubmed-meshheading:8665884-Oculomotor Muscles,
pubmed-meshheading:8665884-Orbit
|
pubmed:year |
1995
|
pubmed:articleTitle |
Peribulbar anaesthesia: the role of local anaesthetic volumes and Thiomucase in motor block and intraocular pressure.
|
pubmed:affiliation |
Department of Anaesthesia, Hospital Universitari Germans Trias i Pujol, Barcelona, Spain.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|