https://doi.org/10.30702/Ophthalmology30092020-11.1.1506-13

Serdiuk V.², Mynka N.^{1, 2}, Kobelyatsky Yu.²

¹Dnipropetrovsk Regional Ophthalmological Clinical Hospital, Dnipro, Ukraine
²Dnipropetrovsk Medical Academy of the Ministry of Health of Ukraine, Dnipro, Ukraine

Pterygopalatine Fossa Block as a Component of Multimodal Anesthesia in an Ophthalmic Surgery

Abstract

Materials and methods. The study included 20 patients aged 25 to 84, 11 men and 9 women with various front eye pathologies. 10 patients were anesthetized according to the classic scheme taken in our clinic. In the other 10 patients, the pain relief scheme was supplemented by the implementation of pterygopalatine fossa block. Monitoring during the operation included non-invasive monitoring of hemodynamics, pulsoxymetry, determination of oxygen and carbon dioxide concentration in exhaled air. In postoperative period level of pain was fixed using visual-analogue scale and frequency of postoperative nausea and vomiting.

Results. The study found that patients in the groups had no statistically significant differences in sex, age and severity of surgery. At all stages of the study, the severity of pain in patients with the pterygopalatine fossa block was reliably lower than in patients in the control group. The incidence of postoperative nausea and vomiting was also lower in the blockade group.

Keywords: postoperative pain, assessment of pain, scheme of anesthesia, ophthalmic surgery.

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Received: 2020 June 23
Published: October 2020