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Title

A COMPARISON OF THREE INTRAVENOUS SEDATION TECHNIQUES USING FENTANYL+KETAMINE, FENTANYL+KETAMINE+PROPOFOL & FENTANYL+KETAMINE+LIDOCAINE IN PHACOEMULSIFICATION UNDER TOPICAL ANESTHESIA FOR CATARACT SURGERY

Pages

  31-38

Abstract

CATARACT surgery is the most common procedures in geriatrics. There has been a significant shift toward the use of TOPICAL ANESTHESIA with light SEDATION for routine CATARACT surgery. This study evaluated the SEDATION, cooperation and pain score, patient and surgeon satisfaction, PONV and delirium following use of three intravenous SEDATION techniques in phacoemulsification under TOPICAL ANESTHESIA for CATARACT surgery.In this controlled clinical trial study, 150 patients who were candidate for phacoemulsification surgery were randomly divided in three groups. After oral explanation and TOPICAL ANESTHESIA with tetracaine 0.5%, first group received fentanyl 1-1.5, µg/kg and ketamine 0.2mg/kg intravenously. Then propofol 10-20, µg/kg/min for second group and lidocaine 0.7mglkg for third group were Administered in addition to drugs of first group. Data were collected analyzed.There were no differences in the demographics data, preoperative BP and HR between the 3 groups. The mean pain score in 3 groups were 1.20±2.14, 1.78±2.68, and 2.18±3.05 respectively. Frequency of appropriate SEDATION in 3 groups was 80%, 86% and 78% respectively. Frequency of appropriate cooperation in 3 groups was 70%, 76% and 76% respectively. No significant differences in other parameters were observed in 3 groups.In previous studies, the preference of some SEDATION methods to other protocols was proved but in present study this issue was not significant. This may be due to patient selection, preoperative psychological preparation; optimum drugs dose selection, administration quality, compatible drugs combination and surgeon skill. There is necessary to more studies for detection of these effects on SEDATION quality.

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    APA: Copy

    KIAN-AFZAR, K., SOLTANINEZHAD, H.A., & HASHEMI, SEYED JALAL. (2004). A COMPARISON OF THREE INTRAVENOUS SEDATION TECHNIQUES USING FENTANYL+KETAMINE, FENTANYL+KETAMINE+PROPOFOL & FENTANYL+KETAMINE+LIDOCAINE IN PHACOEMULSIFICATION UNDER TOPICAL ANESTHESIA FOR CATARACT SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 25(47), 31-38. SID. https://sid.ir/paper/63331/en

    Vancouver: Copy

    KIAN-AFZAR K., SOLTANINEZHAD H.A., HASHEMI SEYED JALAL. A COMPARISON OF THREE INTRAVENOUS SEDATION TECHNIQUES USING FENTANYL+KETAMINE, FENTANYL+KETAMINE+PROPOFOL & FENTANYL+KETAMINE+LIDOCAINE IN PHACOEMULSIFICATION UNDER TOPICAL ANESTHESIA FOR CATARACT SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2004;25(47):31-38. Available from: https://sid.ir/paper/63331/en

    IEEE: Copy

    K. KIAN-AFZAR, H.A. SOLTANINEZHAD, and SEYED JALAL HASHEMI, “A COMPARISON OF THREE INTRAVENOUS SEDATION TECHNIQUES USING FENTANYL+KETAMINE, FENTANYL+KETAMINE+PROPOFOL & FENTANYL+KETAMINE+LIDOCAINE IN PHACOEMULSIFICATION UNDER TOPICAL ANESTHESIA FOR CATARACT SURGERY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 25, no. 47, pp. 31–38, 2004, [Online]. Available: https://sid.ir/paper/63331/en

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    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
    مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources
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