Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Sep-Oct;68(5):431-436.
doi: 10.1016/j.bjan.2018.01.004. Epub 2018 Mar 12.

[Peribulbar block combined with general anesthesia in babies undergoing laser treatment for retinopathy of prematurity: a retrospective analysis]

[Article in Portuguese]
Daniela Filipa Rodrigues Pinho  1 , Cátia Real  2 , Leónia Ferreira  2 , Pedro Pina  2
Affiliations

[Peribulbar block combined with general anesthesia in babies undergoing laser treatment for retinopathy of prematurity: a retrospective analysis]

[Article in Portuguese]
Daniela Filipa Rodrigues Pinho et al. Braz J Anesthesiol. 2018 Sep-Oct.

Abstract

Background and objectives: Currently there is no agreement regarding which one is the most adequate anesthetic technique for the treatment of retinopathy of prematurity. Peribulbar block may reduce the incidence of oculocardiac reflex and postoperative apnea. The goal of this study was to report the outcomes of peribulbar block, when combined with general anesthesia, for the laser treatment for retinopathy of prematurity, in premature babies.

Methods: A retrospective analysis of anesthetic records of all babies who underwent laser treatment for retinopathy of prematurity from January 2008 through December 2015 in a tertiary hospital was performed.

Results: During that period a total of six babies was submitted to laser treatment for retinopathy of prematurity, all under peribulbar block combined with general anesthesia. A single infratemporal injection of 0.15 mL.kg−1 per eye ropivacaine 1% or 0.75% was performed. At the end of the procedure, all babies resumed spontaneous ventilation. No perioperative complications were reported.

Conclusions: Peribulbar block was a safe anesthetic technique in our sample considered.

Keywords: Bloqueio nervoso; Doenças retinianas; Infant, premature; Laser therapy; Nerve block; Recém‐nascido; Retinal diseases; Retinopathy of prematurity; Retinopatia da prematuridade; Terapia a laser; prematuro.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Sinha R., Talawar P., Ramachandran R., et al. Perioperative management and post-operative course in pre-term infants undergoing vitreo-retinal surgery for retinopathy of prematurity: a retrospective study. J Anaesthesiol Clin Pharmacol. 2014;30:258–262. - PMC - PubMed
    1. Walther-Larsen S., Rasmussen L.S. The former preterm infant and risk of post-operative apnoea: recommendations for management. Acta Anaesthesiol Scand. 2006;50:888–893. - PubMed
    1. Sinha R., Maitra S. The effect of peribulbar block with general anesthesia for vitreoretinal surgery in premature and ex-premature infants with retinopathy of prematurity. A A Case Rep. 2016;6:25–27. - PubMed
    1. Rush R., Rush S., Nicolau J., et al. Systemic manifestations in response to mydriasis and physical examination during screening for retinopathy of prematurity. Retina. 2004;24:242–245. - PubMed
    1. Jones L.J., Craven P.D., Lakkundi A., et al. Regional (spinal, epidural, caudal) versus general anesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. Cochrane Database Syst Rev. 2015:CD003669. - PMC - PubMed

Publication types

LinkOut - more resources