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Evaluation of anesthesia manual for strabismus correction surgeries in outpatient practice among children and impact of anesthesia on early recovery after surgery

https://doi.org/10.33667/2078-5631-2020-36-66-69

Abstract

The majority of strabismus correction surgeries are performed in outpatient conditions. Improving the quality of pain management is essential to avoid undesirable events, especially among children after general anesthesia during strabismus surgery. The use of opioid analgesia during surgery may be accompanied by a higher risk of postoperative nausea and vomiting, as well as longer sedation leading to delayed discharge from hospital. The local 0.4% hydrochloride oxybuprocaine anesthetic has a local pro-active analgesic effect on the operated eye prior to the surgical incision, and later the additional use of drops in the surgical field eliminates the need for further analgesic administration in the perioperative and postoperative period without any subsequent sedation or significant nausea and vomiting episodes that are observed with intravenous fentanyl injection. The results of the study showed that the local application of 0.4% oxybuprocaine is comparable in the effect with intravenous fentanyl injection in achieving the desired optimal effect in the perioperative and postoperative periods and contributes to discharge from hospital in the near future.

About the Authors

I. Yousafzai
King Khaled Eye Specialist Hospital
Saudi Arabia
Riyadh


A. B. Butrov
People’s Friendship University of Russia
Russian Federation
Moscow


D. M. Rybina
Municipal Clinical Hospital n.a. F.I. Inozemtsev
Russian Federation
Moscow


References

1. Kokinsky E, Nilsson K, Larsson LE. Increased incidence of postoperative nausea and vomiting without additional analgesic effects when a low dose of intravenous fentanyl is combined with a caudal block. Paediatr Anaesth. 2003; 13: 334–8. [PubMed]

2. Sinha R, Chandralekha, Batra M, Ray BR, Mohan VK, Saxena R. A randomised comparison of lidocaine 2% gel and proparacaine 0.5% eye drops in paediatric squint surgery. Anaesthesia. 2013; 68: 747–52. [PubMed]

3. Morton NS, Benham SW, Lawson RA, McNicol LR. Diclofenac vs oxybuprocaine eyedrops for analgesia in paediatric strabismus surgery. Paediatr Anaesth. 1997; 7: 221–6. [PubMed]

4. Chhabra A, Madan R, Subramaniam R, Ghai B, Bharati N, Kaul HL, et al. Comparison of topical anethesia peribulbar block for pediatric strabismus surgery under TIVA. J Anesthesiol Clin Pharmacol. 2002; 18: 268–74.

5. Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B. The Faces Pain Scale-Revised: Toward a common metric in pediatric pain measurement. Pain. 2001; 93: 173–83. [PubMed]

6. Hunter M, McDowell L, Hennessy R, Cassey J. An evaluation of the Faces Pain Scale with young children. J Pain Symptom Manage. 2000; 20: 122–9. [PubMed]

7. Paik HJ, Ahn YM. Measurement of acute pain after eye surgery in children. Korean J Ophthalmol. 2002; 16: 103–9. [PubMed]

8. Rawal N, De Andres J, Fischer H. Produced in consultation with the European Society of Regional Anaesthesia and Pain Therapy (ESRA) Sweden: AstraZeneca; 2009. Postoperative pain management – Good clinical practice. General recommendations and principles for successful pain management; p. b12.

9. Howard R, Carter B, Curry J, Jain A, Liossi C, Morton N, et al. Good practice in postoperative and procedural pain management. Paediatr Anaesth. 2012; 22: 1–79.

10. Wennström B, Reinsfelt B. Rectally administered diclofenac (Voltaren) reduces vomiting compared with opioid (morphine) after strabismus surgery in children. Acta Anaesthesiol Scand. 2002; 46: 430–4. [PubMed]

11. Pasero C. Fentanyl for acute pain management. J Perianesth Nurs. 2005; 20: 279–84. [PubMed]

12. Veronica CS, Parvin AT, Heike G, Jeffery K. Anesthesia in Pediatric Otolaryngology. In: Lesperance MM, Flint PW, editors. Cummings Pediatric Otolaryngology. Philadelphia, PA: Elsevier Health Sciences; 2014. pp. 21–38.

13. MINIMS Oxybuprocaine Product Information. [Last accessed on 2016 May 16]. Available from: www.betterhealth.vic.gov.au/~/media/bhc/files/medicine%20guides%20library/07/cmi7210.pdf.

14. Eidelman A1, Weiss JM, Baldwin CL, Enu IK, McNicol ED, Carr DB. Topical anaesthetics for repair of dermal laceration. Cochrane Database Syst Rev. 2011; 6: CD005364. DOI: 10.1002/14651858.CD005364.pub2. [PubMed]

15. Pierre S, Whelan R. Nausea and vomiting after surgery. Contin Educ Anaesth Crit Care Pain. 2013; 13: 28–32.

16. Sennaraj B, Shende D, Sadhasivam S, Ilavajady S, Jagan D. Management of post-strabismus nausea and vomiting in children using ondansetron: A value-based comparison of outcomes. Br J Anaesth. 2002; 89: 473–8. [PubMed]

17. Eberhart LH, Geldner G, Kranke P, Morin AM, Schäuffelen A, Treiber H, et al. The development and validation of a risk score to predict the probability of postoperative vomiting in pediatric patients. Anesth Analg. 2004; 99: 1630–7. [PubMed]

18. Eltzschig HK, Schroeder TH, Eissler BJ, Felbinger TW, Vonthein R, Ehlers R, et al. The effect of remifentanil or fentanyl on postoperative vomiting and pain in children undergoing strabismus surgery. Anesth Analg. 2002; 94: 1173–7. [PubMed]

19. Lim H, Doo AR, Son JS, Kim JW, Lee KJ, Kim DC, et al. Effects of intraoperative single bolus fentanyl administration and remifentanil infusion on postoperative nausea and vomiting. Korean J Anesthesiol. 2016; 69: 51–6. [PMC free article] [PubMed]

20. Mendel HG, Guarnieri KM, Sundt LM, Torjman MC. The effects of ketorolac and fentanyl on postoperative vomiting and analgesic requirements in children undergoing strabismus surgery. Anesth Analg. 1995; 80: 1129–33. [PubMed]

21. Oh AY, Kim JH, Hwang JW, Do SH, Jeon YT. Incidence of postoperative nausea and vomiting after paediatric strabismus surgery with sevoflurane or remifentanil-sevoflurane. Br J Anaesth. 2010; 104: 756–60. [PubMed]

22. Seijas O, Gómez de Liaño P, Merino P, Roberts CJ, Gómez de Liaño R. Topical anesthesia in strabismus surgery: A review of 101 cases. J Pediatr Ophthalmol Strabismus. 2009; 46: 218–22. [PubMed]

23. Anninger W, Forbes B, Quinn G, Schreiner MS. The effect of topical tetracaine eye drops on emergence behavior and pain relief after strabismus surgery. J AAPOS. 2007; 11: 273–6. [PubMed]

24. Habib NE, el-Kasaby HT, Marczak AM, Hsuan J. Subconjunctival bupivacaine versus topical amethocaine in strabismus surgery. Eye (Lond) 1993; 7 (Pt 6): 757–9. [PubMed]

25. Watson DM. Topical amethocaine in strabismus surgery. Anaesthesia. 1991; 46: 368–70. [PubMed]

26. el-Kasaby HT, Habib NE, Marczak AM. Subconjunctival bupivacaine in strabismus surgery. Eye (Lond) 1993; 7 (Pt 3): 346–9. [PubMed]

27. Sheard RM, Mehta JS, Barry JS, Bunce C, Adams GG. Subtenons lidocaine injection for postoperative pain relief after strabismus surgery in children: A prospective randomized controlled trial. J AAPOS. 2004; 8: 314–7. [PubMed]

28. Kim J, Azavedo L, Bhananker S, Bonn G, Splinter W. Amethocaine or ketorolac eyedrops provide inadequate analgesia in pediatric strabismus surgery. Can J Anaesth. 2003; 50: 819–23. [PubMed]

29. Bridge HS, Montgomery CJ, Kennedy RA, Merrick PM. Analgesic efficacy of ketorolac 0.5% ophthalmic solution (Accular) in paediatric strabismus surgery. Paediatr Anaesth. 2000; 10: 521–6. [PubMed]


Review

For citations:


Yousafzai I., Butrov A.B., Rybina D.M. Evaluation of anesthesia manual for strabismus correction surgeries in outpatient practice among children and impact of anesthesia on early recovery after surgery. Medical alphabet. 2020;(36):66-69. https://doi.org/10.33667/2078-5631-2020-36-66-69

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)