ENHANCING PEDIATRIC OPHTHALMIC SURGERY OUTCOMES: COMBINING PERIBULBAR BLOCK WITH GENERAL ANAESTHESIA
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Keywords
Pediatric, Ophthalmic Surgery, Peribulbar Block, General Anesthesia, Complications, Anesthesia Techniques.
Abstract
Background: Pediatric ophthalmic surgeries often require effective anesthesia techniques to minimize intraoperative complications and ensure patient comfort. This study aimed to evaluate the efficacy of combining peribulbar block (PB) with general anesthesia (GA) compared to GA alone in pediatric patients undergoing ophthalmic surgery.
Materials and Methods: Sixty children aged 4-12 years were randomized into two groups: GA-PB (n=30) and GA (n=30). Data on age distribution, gender, ASA PS grading, incidence of oculocardiac reflex (OCR), complications, weight, intraocular pressure (IOP), heart rate (HR), mean arterial pressure (MAP), and oxygen saturation (SpO2) were collected. Statistical analysis included Pearson's chi-squared test and t-tests.
Results: No significant association was found between age (χ² = 0.518, p = 0.772), gender (χ² = 0.000, p = 1.000), or ASA PS grading (χ² = 0.373, p = 0.542) with groups. OCR incidence was significantly lower in the GA+PB group at 60 minutes (χ² = 7.295, p = 0.011) and 90 minutes (χ² = 7.925, p = 0.011). Nausea incidence differed significantly (χ² = 6.000, p = 0.049) between groups.
Conclusion: Combining PB with GA in pediatric ophthalmic surgeries may reduce OCR incidence and postoperative nausea compared to GA alone, enhancing perioperative management.
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Dr Sri hari vignesh R
Assistant professor , Department of Anaesthesia , Palakkad institute of medical sciences, Walayar, Palakkad, Kerala, India
Dr S Dhivakar
Assistant surgeon, Manamadurai Government Hospital, Sivagangai, Tamilnadu, India
Dr S. Syed Mohammed Jazeel
Assistant surgeon, Koodankulam Government Hospital, Tirunelveli, Tamilnadu, India
Dr Leena S
Assistant professor, Department of Ophthalmology, Palakkad institute of medical sciences, Walayar, Palakkad, Kerala, India