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Anesth Analg 2008; 107:1751-1753
© 2008 International Anesthesia Research Society
doi: 10.1213/ane.0b013e3181864d1c
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ANALGESIA

Single Injection Peribulbar Anesthesia with a Short Needle Combined with Digital Compression

Waleed Riad, AB, SB, MD, KSUF, and Nauman Ahmed, FCPS

From the Department of Anaesthesia, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Address correspondence to Dr Waleed Riad, Department of Anaesthesia, King Khaled Eye Specialist Hospital, P.O. Box 7191, Riyadh 11462, Kingdom of Saudi Arabia. Address e-mail to waleed_riad{at}yahoo.com.

Abstract

BACKGROUND: We compare the efficacy of using a 15 mm to the standard 25 mm needle for performing peribulbar blockade.

METHODS: Blocks were performed on 150 patients using 15 or 25 mm needle length. Digital compression was applied by the thumb and index finger around the needle hub during injection with 15 mm needle. Anesthetic was injected until lid fullness was noted. Inadequate block was augmented.

RESULTS: No significant differences were noted between groups with respect to local anesthetic volume, supplementation, and akinesia.

CONCLUSION: Peribulbar blockade performed with a 15 mm needle with digital pressure is comparable to blockade using a 25 mm needle.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2008 by the International Anesthesia Research Society.