A Comparison Between The Effects Of Peribulbar And Sub-tenon Blocks Combined With General Anesthesia On The Incidence Of Oculocardiac Reflex (OCR) During Pediatric Strabismus Surgery: A Double Blinded Randomised Control Study
Status: Recruiting
Location: See location...
Intervention Type: Procedure, Drug
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The aim of this study is to compare between peribulbar block and subtenon block as an adjunct to general anesthesia in children undergoing strabismus surgery on oculocardiac reflex (OCR), post-operative analgesia and postoperative vomiting. Both techniques will be compared to intra-operative intravenous (IV) paracetamol combined with general anesthesia as a sole anesthetic technique.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 6
Maximum Age: 13
Healthy Volunteers: t
View:
• Participants were children (6-13 years), ASA I-II patients, scheduled to undergo strabismus surgery.
Locations
Other Locations
Egypt
Cairo University faculty of medicine
RECRUITING
Cairo
Contact Information
Primary
Essam Nossair, Masters
e.nossair92@gmail.com
0201002014809
Time Frame
Start Date: 2023-12-01
Estimated Completion Date: 2024-03-30
Participants
Target number of participants: 140
Treatments
Experimental: Peribulbar group (Group P)
The peribulbar group (P group \_ 40) received a peribulbar block with 0.25 mL/kg of a 1:1 local anesthetic mixture (LAM) of 0.5% bupivacaine and 2% lignocaine. Peribulbar block using a two-injection technique was performed by a second anesthetist under sterile conditions and before the application of surgical drapes. LAM was injected both infratemporal and superonasally using a 26-G needle, in contrast to the single infratemporal injection approach.
Experimental: sub-tenon group (group S)
Children in the sub-Tenon group (sub-Tenon group (S), n \_ 40) received a sub-Tenon block. Sub-Tenon's anesthesia was performed with 0.5% bupivacaine (0.08 ml/kg), bearing in mind not to exceed the maximum dose. Under sterile conditions, a 19- gauge curved blunt metallic cannula (25 mm) was inserted into sub-Tenon's space and the local anesthetic was injected by the ophthalmologist after the application of surgical drapes.
Active_comparator: paracetamol (group C)
Children in the paracetamol group received IV paracetamol (15 mg/kg) after induction of anesthesia before any surgical intervention.
Related Therapeutic Areas
Sponsors
Leads: Cairo University