Aim:To evaluate the feasibility and acceptability of the use of peribulbar anaesthesia(PA)in paediatric cataract surgery in rural areas in China,where there are limitations in expertise and equipment for general anaes...Aim:To evaluate the feasibility and acceptability of the use of peribulbar anaesthesia(PA)in paediatric cataract surgery in rural areas in China,where there are limitations in expertise and equipment for general anaesthesia(GA).Methods:We prospectively evaluated the feasibility and acceptability of carrying out paediatric cataract surgery under PA in children aged 7-15 years.Informed consent was obtained from the subjects and their parents.Children were assessed for their suitability for PA.Peribulbar anaesthesia was given as a peribulbar block using a 2% lidocaine,0.5% bupivacaine-hyaluronidase mixture administered before lens aspiration with intraocular lens implantation.The acceptability of the PA was evaluated by questionnaire.Results:A total of 19 patients were recruited.Their mean age was 12± 2 years(range 7-15 years).None required conversion to GA.All subjects regarded PA as either totally acceptable(63.2%)or acceptable(36.8%).The mean pain scores(from 0 to 100)during the injection and surgery were 28± 26 and 6± 8,respectively.Seventeen patients(89.5%)said they would prefer PA if choices in anaesthesia were offered again.Conclusions:Peribulbar anaesthesia can be considered as a viable option in selected children undergoing cataract surgery when facilities for safe and optimal general anaesthesia are unavailable.展开更多
文摘Aim:To evaluate the feasibility and acceptability of the use of peribulbar anaesthesia(PA)in paediatric cataract surgery in rural areas in China,where there are limitations in expertise and equipment for general anaesthesia(GA).Methods:We prospectively evaluated the feasibility and acceptability of carrying out paediatric cataract surgery under PA in children aged 7-15 years.Informed consent was obtained from the subjects and their parents.Children were assessed for their suitability for PA.Peribulbar anaesthesia was given as a peribulbar block using a 2% lidocaine,0.5% bupivacaine-hyaluronidase mixture administered before lens aspiration with intraocular lens implantation.The acceptability of the PA was evaluated by questionnaire.Results:A total of 19 patients were recruited.Their mean age was 12± 2 years(range 7-15 years).None required conversion to GA.All subjects regarded PA as either totally acceptable(63.2%)or acceptable(36.8%).The mean pain scores(from 0 to 100)during the injection and surgery were 28± 26 and 6± 8,respectively.Seventeen patients(89.5%)said they would prefer PA if choices in anaesthesia were offered again.Conclusions:Peribulbar anaesthesia can be considered as a viable option in selected children undergoing cataract surgery when facilities for safe and optimal general anaesthesia are unavailable.
