Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/57181
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dc.creatorIlma Patrícia Machadopt_BR
dc.creatorGalton Carvalho Vasconcelospt_BR
dc.creatorRodrigo Souza Lopespt_BR
dc.creatorRenato Santiago Gomezpt_BR
dc.date.accessioned2023-07-28T21:45:38Z-
dc.date.available2023-07-28T21:45:38Z-
dc.date.issued2020-08-17-
dc.citation.volume41pt_BR
dc.citation.issue1pt_BR
dc.citation.spage203pt_BR
dc.citation.epage210pt_BR
dc.identifier.doi10.1007/s10792-020-01567-2pt_BR
dc.identifier.issn15732630pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/57181-
dc.description.resumoPurpose There are controversies regarding ophthalmic artery (OA) flow after peribulbar block in the presence of epinephrine. Therefore, we aimed to evaluate OA flow via echo-Doppler before and after peribulbar block with lidocaine in the presence or absence of epinephrine. Methods Fifty-six patients who had an American Society of Anesthesiologists (ASA) classification of I, II or III and were eligible for cataract phacoemulsification surgery were selected. Patients with other eye diseases were excluded. Patients were divided into two groups: group 1—peribulbar block with lidocaine and 1/200,000 epinephrine; group 2—peribulbar block with lidocaine in the absence of epinephrine. The resistance index (RI), peak systolic velocity (PSV), end diastolic velocity (EDV) of the OA were evaluated using echo-Doppler before and 10 min after the peribulbar block. Results No differences between groups were observed in the RI before the peribulbar block as well regarding the presence of hypertension and the age or gender of the patient. After the peribulbar block, we observed a decrease in the RI in group 1 (p = 0.038, Cohen’s d = 0.336) and no difference in the RI in group 2 (p = 0.109, Cohen’s d = 0.172). When comparing group 1 and group 2, we observed a decrease in the RI in group 1 (p = 0.028, Cohen’s d = 0,583). There was no difference between groups regarding the PSV and EDV after the peribulbar block.Conclusions A decrease in RI was observed in the OA after peribulbar block with a vasoconstrictor, an effect that could be a benefit in some ocular surgeriespt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CIRURGIApt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE OFTALMOLOGIA E OTORRINOLARINGOLOGIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInternational Ophthalmology-
dc.rightsAcesso Abertopt_BR
dc.subjectOcular flowpt_BR
dc.subjectCataract surgerypt_BR
dc.subjectPeribulbar blocpt_BR
dc.subjectOcular Dopplerpt_BR
dc.subject.otherExtração de Cataratapt_BR
dc.subject.otherArtéria Oftálmicapt_BR
dc.titleOphthalmic artery resistance index after peribulbar block in the presence of epinephrinept_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://link.springer.com/article/10.1007/s10792-020-01567-2pt_BR
dc.identifier.orcid0000-0002-4401-1137pt_BR
Appears in Collections:Artigo de Periódico

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