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A comparison of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgery

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dc.contributor.authorRyu, Jung-Hee-
dc.contributor.authorKim, Minsuk-
dc.contributor.authorBahk, Jae-Hyon-
dc.contributor.authorDo, Sang-Hwan-
dc.contributor.authorKim, Yong-Chul-
dc.contributor.authorCheong, Il-Young-
dc.date.accessioned2012-07-03T08:42:34Z-
dc.date.available2012-07-03T08:42:34Z-
dc.date.issued2009-04-
dc.identifier.citationEUROPEAN JOURNAL OF OPHTHALMOLOGY; Vol.19 2; 240-246ko_KR
dc.identifier.issn1120-6721-
dc.identifier.urihttp://hdl.handle.net/10371/78320-
dc.description.abstractPURPOSE. This randomized, double-blinded, prospective study was performed to compare the intraoperative hemodynamic variables and the patient-reported outcomes, such as intra-and postoperative analgesia and patient satisfaction, of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgery under monitored anesthesia care. METHODS. Eighty-one patients, ASA physical status I-III, undergoing elective cataract surgery under monitored anesthesia care, aged between 43 and 78 years, were randomly assigned to three groups: retrobulbar block (group R), sub-Tenon block (group S), or topical anesthesia (group T). Three minutes after the start of monitored anesthesia care with lidocaine-propofol-remifentanil mixture, an ophthalmologist performed regional anesthesia. Intraoperative hemodynamics, pain score, and patients` satisfaction with the anesthetic experiences were recorded by a study-blinded anesthesiologist. RESULTS. Mean arterial pressure and heart rate in group R were significantly higher than those in groups S and T during and just after the regional block (p<0.05). Group R required smaller dosage of patient controlled sedation and fewer supplemental bolus doses than groups S and T (p<0.05). On the other hand, group S showed the highest satisfaction scores among the three groups (p<0.05). CONCLUSIONS. Sub-Tenon block seems to be better than retrobulbar block and topical anesthesia in patient satisfaction though adequate analgesia was achieved after retrobulbar block during cataract surgery under monitored anesthesia care. (Eur J Ophthalmol 2009; 19: 240-6)ko_KR
dc.language.isoenko_KR
dc.publisherWICHTIG EDITOREko_KR
dc.subjectAnalgesiako_KR
dc.subjectSub-Tenon blockko_KR
dc.subjectTopical anesthesiako_KR
dc.subjectPatient satisfactionko_KR
dc.subjectCataract surgeryko_KR
dc.subjectRetrobulbar blockko_KR
dc.titleA comparison of retrobulbar block, sub-Tenon block, and topical anesthesia during cataract surgeryko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor류정희-
dc.contributor.AlternativeAuthor김민숙-
dc.contributor.AlternativeAuthor박재현-
dc.contributor.AlternativeAuthor도상환-
dc.contributor.AlternativeAuthor정일영-
dc.contributor.AlternativeAuthor김용철-
dc.citation.journaltitleEUROPEAN JOURNAL OF OPHTHALMOLOGY-
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dc.description.tc8-
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College of Medicine/School of Medicine (의과대학/대학원)Anesthesiology and Pain Medicine (마취통증의학전공)Journal Papers (저널논문_마취통증의학전공)
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