Effectiveness of sub-Tenon's block in pediatric strabismus surgery

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dc.contributor.authorTuzcu, Kasim
dc.contributor.authorCoskun, Mesut
dc.contributor.authorTuzcu, Esra Ayhan
dc.contributor.authorKarcioglu, Murat
dc.contributor.authorDavarci, Isil
dc.contributor.authorHakimoglu, Sedat
dc.contributor.authorAydin, Suzan
dc.date.accessioned2024-09-18T20:59:10Z
dc.date.available2024-09-18T20:59:10Z
dc.date.issued2015
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground and objectives: Strabismus surgery is a frequently performed pediatric ocular procedure. A frequently occurring major problem in patients receiving this treatment involves the oculocardiac reflex. This reflex is associated with an increased incidence of postoperative nausea, vomiting, and pain. The aim of this study was to investigate the effects of a sub-Tenon's block on the oculocardiac reflex, pain, and postoperative nausea and vomiting. Methods: Forty patients aged 5-16 years with American Society of Anesthesiologists status I-II undergoing elective strabismus surgery were included in this study. Patients included were randomly assigned into two groups by using a sealed envelope method. In group 1 (n=20), patients did not receive sub-Tenon's anesthesia. In group 2 (n=20), following intubation, sub-Tenon's anesthesia was performed with the eye undergoing surgery. Atropine use, pain scores, oculocardiac reflex, and postoperative nausea and vomiting incidences were compared between groups. Results: There were no significant differences between groups with regard to oculocardiac reflex and atropine use (p> 0.05). Pain scores 30 min post-surgery were significantly lower in group 2 than in group 1 (p< 0.05). Additional analgesic needed during the postoperative period was significantly lower in group 2 compared to group 1 (p< 0.05). Conclusions: In conclusion, we think that a sub-Tenon's block, combined with general anesthesia, is not effective and reliable in decreasing oculocardiac reflex and postoperative nausea and vomiting. However, this method is safe for reducing postoperative pain and decreasing additional analgesia required in pediatric strabismus surgery. (c) 2014 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.en_US
dc.identifier.doi10.1016/j.bjane.2014.02.003
dc.identifier.endpage352en_US
dc.identifier.issn0034-7094
dc.identifier.issn1806-907X
dc.identifier.issue5en_US
dc.identifier.pmid26363691en_US
dc.identifier.scopus2-s2.0-84941559408en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage349en_US
dc.identifier.urihttps://doi.org/10.1016/j.bjane.2014.02.003
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12427
dc.identifier.volume65en_US
dc.identifier.wosWOS:000362461200007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofRevista Brasileira De Anestesiologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSub-Tenon's blocken_US
dc.subjectPediatric strabismus surgeryen_US
dc.subjectAnesthesiaen_US
dc.titleEffectiveness of sub-Tenon's block in pediatric strabismus surgeryen_US
dc.typeArticleen_US

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