ISSN 0975-3583
 

Journal of Cardiovascular Disease Research



    Comparing General Anesthesia with Preemptive IV Atropine versus General Anesthesia with Single Injection Peribulbar Block with Levobupivacaine 0.5% or Lidocaine 2% for Prevention of Oculocardiac Reflex in Children Undergoing Strabismus Surgery: Randomized Control Study


    Abeer S. Salem, Galal Adel ElKady, Melad Ragaey Zekry, Dalia Ahmed Ibrahim, Hani Ali Ezzat
    JCDR. 2020: 2149-2157

    Abstract

    One of the frequent health issues affecting kids is strabismus. It is clinically relevant for paediatricians to know that the incidence of the oculocardiac reflex declines with age and tends to be more apparent in young, healthy patients since it is most frequently seen in young, healthy newborns and babies having strabismus surgery. Objective: to prevent and attenuate the oculocardiac reflex in children age group from (2yrs to 14 yrs) undergoing surgical correction for strabismus. Patients and Methods: Three groups were allocated Group C received general anaesthesia combined with pre-emptive atropine, Group L received general anaesthesia combined with Peribulbar block with Lidocaine 2 % and Group LB which received general anaesthesia combined with peribulbar block with Levobupivacaine 0.5%. Results: In our study we found that group L which received peribulbar lidocaine 2 % was the most successful group regarding blocking the occurrence of the OCR and with acceptable post-operative pain control results. Conclusion: According to our research, peribulbar lidocaine 2% combined with general anaesthesia is very effective at reducing the risk of OCR in children having strabismus surgery and is superior to intravenous pre-emptive atropine in terms of surgeon satisfaction. Peribulbar levobupivacaine 0.5% combined with general anaesthesia plays a significant role in post-operative pain management and is associated with higher patient satisfaction

    Description

    » PDF

    Volume & Issue

    Volume 11 Issue 4

    Keywords