Academic Journal
Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia.
| Τίτλος: | Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia. |
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| Συγγραφείς: | Mete A; Department of Ophthalmology , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey., Saygılı O; Department of Ophthalmology , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey., Kimyon S; Department of Ophthalmology , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey. sabitkimyon@gmail.com., Pamukcu C; Department of Ophthalmology, Hatem Private Hospital, Gaziantep, Turkey., Çeri S; Department of Ophthalmology , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey., Güngör K; Department of Ophthalmology , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey., Temizer M; Department of Public Health , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey. |
| Πηγή: | International ophthalmology [Int Ophthalmol] 2017 Apr; Vol. 37 (2), pp. 349-356. Date of Electronic Publication: 2016 Jun 22. |
| Τύπος έκδοσης: | Comparative Study; Journal Article; Observational Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Kluwer Country of Publication: Netherlands NLM ID: 7904294 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2630 (Electronic) Linking ISSN: 01655701 NLM ISO Abbreviation: Int Ophthalmol Subsets: MEDLINE |
| Imprint Name(s): | Publication: Dordrecht : Kluwer Original Publication: The Hague, Junk. |
| Ιατρικοί όροι (MeSH): | Patient Satisfaction*, Anesthesia, Local/*methods , Lidocaine/*administration & dosage , Postoperative Pain/*prevention & control , Vitreoretinal Surgery/*methods, Anesthetics, Local/administration & dosage ; Postoperative Pain/diagnosis ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Injections ; Intraoperative Period ; Male ; Middle Aged ; Orbit ; Pain Measurement ; Young Adult |
| Περίληψη: | The objective of this study is to compare pain and discomfort scores of patients during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia without using sedation. A total of 157 patients with various vitreoretinal disorders were included in this study. Patients were randomly divided into two groups: topical (group 1, n = 76) and retrobulbar anesthesia (group 2, n = 81). Patients underwent 23-G vitreoretinal surgery without using sedation. All patients rated the level of experienced pain during the surgical procedure using a visual analogue pain scale. Pain and discomfort scores while performing anesthesia were significantly higher in group 2 than group 1 (p < 0.001). Patients in group 1 experienced more pain than group 2 during trocar insertion, endolaser photocoagulation, and scleral indentation steps of surgery (for all; p < 0.001). There was no significant difference in overall pain and discomfort scores and surgeon comfort scores between groups (p = 0.163, p = 0.097; respectively). None of the patients required additional anesthesia or sedation during or after the procedure. Topical anesthesia without using sedation is a safe and effective, alternative method for 23-G vitreoretinal surgeries in selected patients with various vitreoretinal pathologies. |
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| Contributed Indexing: | Keywords: Pain; Retrobulbar anesthesia; Sedation; Topical anesthesia; Vitreoretinal surgery |
| Substance Nomenclature: | 0 (Anesthetics, Local) 98PI200987 (Lidocaine) |
| Entry Date(s): | Date Created: 20160624 Date Completed: 20170809 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| DOI: | 10.1007/s10792-016-0268-6 |
| PMID: | 27334604 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1573-2630 |
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| DOI: | 10.1007/s10792-016-0268-6 |