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Content Provider | World Health Organization (WHO)-Global Index Medicus |
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Author | Chan, WengOnn Fahlbusch, Douglas Dhillon, Premjeet Selva, Dinesh |
Description | Author Affiliation: Chan W ( South Australian Institute of Ophthalmology and Discipline of Ophthalmology & Visual Sciences, University of Adelaide , Adelaide , Australia and.) |
Abstract | PURPOSE: The role of assisted local anaesthetic (aLA) for both endoscopic and external dacryocystorhinostomy is a well-tolerated and established approach. However the tolerability of aLA is unclear with powered burrs used in powered endoscopic DCR (PEDCR). We aim to evaluate the acceptability of aLA for PEDCR. METHODS: This is a prospective, interventional, non-randomized, non-comparative, single surgeon study. Consecutive series of patients that underwent PEDCR performed under aLA were included in the study. Tolerability was assessed by intra-operative pain score on 100 point visual analogue scale (VAS) and if patients were willing to have aLA-PEDCR again. RESULTS: A total of 44 PEDCR was performed on 42 patients.56% of patients reported 0 on 100 point VAS, 65.9% (29/44) reported <10, 88.6% (39/44) reported <20 and no patients had score of >30/100. 97.7% (43/44) of patients are happy to have PEDCR performed again under aLA. The one patient unwilling to have a repeat aLA-PEDCR was not because of pain but intolerance to the sound of drilling. CONCLUSION: PEDCR with assisted local anaesthetic is well tolerated and accepted by patients. |
File Format | HTM / HTML |
ISSN | 01676830 |
Issue Number | 6 |
Volume Number | 33 |
e-ISSN | 17445108 |
Journal | Orbit |
Language | English |
Publisher | Taylor & Francis |
Publisher Date | 2014-12-01 |
Publisher Place | Great Britain (UK) |
Access Restriction | Subscribed |
Subject Keyword | Discipline Ophthalmology Discipline General Surgery Anesthesia, Local Methods Anesthetics, Local Administration & Dosage Cocaine Dacryocystorhinostomy Endoscopy Aged Aged, 80 And Over Conscious Sedation Female Humans Male Middle Aged Pain Measurement Prospective Studies Surgical Flaps Journal Article |
Content Type | Text |
Resource Type | Article |
Subject Domain (in MeSH) | Tissues Eukaryota Organic Chemicals Chemical Actions and Uses Diagnosis Anesthesia and Analgesia Surgical Procedures, Operative Investigative Techniques Persons |
Subject | Ophthalmology |
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