Resumen

VELAZQUEZ CARDONA, Caridad; DEPESTRE MENEJIAS, Juan A  y  VELAZQUEZ CARDONA, Juana M. A retrospective analysis of the peribulbar blockade use in cataract surgery. Rev cuba anestesiol reanim [online]. 2009, vol.8, n.1, pp. 0-0. ISSN 1726-6718.

Introduction: Peribulbar blockade was first described by Davis and Mandel in 1986. It is a safe and effective procedure and thus is indicated in patients presenting with associated diseases and in ambulatory patient. Objective: To identify the effectiveness and safety of peribulbar blockade for surgical procedure of cataract. Material and Methods: We made a retrospective study including 470 patients underwent to peribulbar blockade for surgical procedure of cataract during 1995-2000 in Grey's Hospital, South Africa. All medical records and anesthesia were reviewed and the information was carefully analyzed. Results: The 74.5% of patient were older than 70 years old, and the 66.8% presenting with chronic diseases' only the 23.2% had sedation during performing of blockade. As part of technique and for analgesia, we administered Phentanyl. The 94.6% of patients had an only injection, and in all of them we used Lidocaine and Bupivacaine combined. The 97.5% of blockades was successful, and the 16.11% there was some type of complication. All of complications were minor but two cases of myocardial acute infarction. Conclusions: Peribulbar blockade has a high efficacy, but although less frequent than the retrobulbar blockade one; its complications may to vary from trivial to devastating for life and for vision.

Palabras clave : Peribulbar blockade; cataract; efficacy; safety.