Adjunctive Local Application of Lidocaine during Scleral Buckling under General Anesthesia.

ABSTRACT:

Purpose

To evaluate the effect of local lidocaine application on the incidence of the oculocardiac reflex (OCR) during scleral buckling (SB) for rhegmatogenous retinal detachment (RRD) under general anesthesia.

Methods

In a randomized clinical trial, eyes with RRD scheduled for SB under general anesthesia were randomized to adjunctive local application of 1 ml lidocaine 2% versus normal saline to the muscles after conjunctival opening. Surgical stimulation was initiated 5 minutes afterwards. Additionally, 100 mg of lidocaine 2% was added to 50 ml of normal saline in the treatment group which was used for irrigation during surgery; control eyes were irrigated with normal saline. The incidence of the OCR, rate of postoperative nausea/vomiting (PONV), total intravenous (IV) ana

SUBMITTER: Dehghani A 

PROVIDER: S-EPMC3306101 | biostudies-literature | 2011 Jul

REPOSITORIES: biostudies-literature