Middle East African Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 19  |  Issue : 3  |  Page : 330--333

Comparison of levobupivacaine 0.5% or bupivacaine 0.5% both in a mixture with lidocaine 2% for superficial extraconal blockade


Nauman Ahmad1, Abdul Zahoor1, Abdullah Al Assiri2, Sabah Al Jastaneiah2, Waleed Riad1 
1 Department of Anesthesia, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
2 Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Waleed Riad
Department of Anesthesia, King Khaled Eye Specialist Hospital, Al Oruba Road, P.O. Box 7191, Riyadh-11462
Saudi Arabia

Purpose: To evaluate the quality and efficacy of Peribulbar blockade for superficial extraconal anesthesia with levobupivacaine 0.5% versus bupivacaine 0.5%, both combined with lidocaine 2% for patients undergoing phacoemulsification. Materials and Methods: In this prospective, double blind study, 150 patients were randomly divided into two groups: group-1 received a Peribulbar block (PB) with a mixture of evobupivacaine 0.5% and lidocaine 2% while group-2 received a PB with a mixture of bupivacaine 0.5% and lidocaine 2%. The block was performed by insertion of a short needle (15 mm) in infra-temporal space just above inferior orbital notch. An initial volume of 6 9 ml of either mixture was injected until total upper eyelid drop. Akinesia score was assessed at 2, 5, and 10 min after the block. The degree of pain was assessed by a verbal rating scale immediately after block, at the end of surgery and 4 h postoperatively. The patients and surgeons were asked to rate their satisfaction level of the quality of block postoperatively. Data were analyzed with the unpaired, two-tailed t-test and the Chi-square test as appropriate. P < 0.05 was considered statistically significant. Results: There were no significant differences between groups with respect to the akinesia score (P = 0.2) at 2, 5, and 10 min, the number of supplementary injections (P = 0.84) and initial and total required volume of local anesthetics (P = 0.80 and 0.81, respectively). There was no significant difference between the groups regarding surgeon and patient satisfaction (P = 0.53 and P = 0.74, respectively). Similarly the verbal rating scales assessed at three different occasions were not significantly different between the groups (P > 0.05 all cases). The need for additional intra-operative topical anesthetic was also similar between the groups. (P = 0.69). Conclusions: Superficial extra-conal block with a mixture of levobupivicaine 0.5% and lidocaine 2% or bupivicaine 0.5% and lidocaine 2% provides similar block quality and efficacy.


How to cite this article:
Ahmad N, Zahoor A, Al Assiri A, Al Jastaneiah S, Riad W. Comparison of levobupivacaine 0.5% or bupivacaine 0.5% both in a mixture with lidocaine 2% for superficial extraconal blockade.Middle East Afr J Ophthalmol 2012;19:330-333


How to cite this URL:
Ahmad N, Zahoor A, Al Assiri A, Al Jastaneiah S, Riad W. Comparison of levobupivacaine 0.5% or bupivacaine 0.5% both in a mixture with lidocaine 2% for superficial extraconal blockade. Middle East Afr J Ophthalmol [serial online] 2012 [cited 2021 Dec 7 ];19:330-333
Available from: http://www.meajo.org/article.asp?issn=0974-9233;year=2012;volume=19;issue=3;spage=330;epage=333;aulast=Ahmad;type=0