Skip Navigation


BJA Advance Access originally published online on August 25, 2009
British Journal of Anaesthesia 2009 103(5):739-743; doi:10.1093/bja/aep230
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
103/5/739    most recent
aep230v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Chhabra, A.
Right arrow Articles by Garg, S. P.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chhabra, A.
Right arrow Articles by Garg, S. P.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?


© The Author [2009]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Comparison of sub-Tenon's block with i.v. fentanyl for paediatric vitreoretinal surgery{dagger}

A. Chhabra1,*, R. Sinha1, R. Subramaniam1, P. Chandra1, D. Narang1 and S. P. Garg2

1 Department of Anaesthesiology and Intensive Care and
2 Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

* Corresponding author: 13/61, West Punjabi Bagh, New Delhi 110026, India. E-mail: anjolie5{at}hotmail.com

Background: Vitreoretinal (VR) surgery is associated with moderate to severe pain and significant postoperative nausea and vomiting (PONV). The study aimed to assess the effectiveness of sub-Tenon's block for providing perioperative analgesia in children undergoing VR surgery.

Methods: In a randomized, observer-blinded trial, after obtaining institutional ethical committee approval and parental consent, 200 ASA grade I–II children aged 5–16 yr were allocated to receive either a sub-Tenon's block (Group SB) or 2 µg kg–1 i.v. fentanyl (Group F) after induction of anaesthesia and topical anaesthesia of the conjunctiva with proparacaine 0.5% drops. Patients in Group F received fentanyl 0.5 µg kg–1 and those in Group SB were given a corresponding volume of normal saline i.v. every hour from preloaded syringes. Increases in heart rate or mean arterial pressure by more than 20% of baseline were treated with additional 0.5 µg kg–1 i.v. fentanyl boluses in both groups. The incidence of oculocardiac reflex (OCR), need for additional analgesics, postoperative pain, and PONV were recorded for the first 24 h after surgery.

Results: More patients in Group F (47.96%) had moderate to severe pain in the first 24 h when compared with Group SB (31.36%) (P=0.023). The need for postoperative ibuprofen was higher in Group F (66.3%) compared with Group SB (47.95%) (P=0.012). The incidence of OCR was significantly higher in Group F (31.6%) compared with Group SB (5.1%) (P<0.001). The incidence of PONV was similar in both groups.

Conclusions: Sub-Tenon's block provides more effective analgesia than i.v. fentanyl for paediatric VR surgery.

Keywords: anaesthesia, paediatric; anaesthetic techniques, regional, sub-Tenon's block; surgery, ophthalmological

{dagger} Presented in part at the XXVIII Annual ESRA Congress, Salzburg, September 9–12, 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.