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       XXIII Annual Congress of the Iranian Society of Ophthalmology        بـیــست و سومین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران
مقاله Abstract


Title: Comparison of analgesic effects between topical anesthesia with tetracaine and intravenous fentanyl and remifentanil in patients undergoing intravitreal bevacizumab injection
Author(s): Hassan Behboudi MD, Shideh Marzban MD, Babak Mirzazade MD, Aidin Badanara BSc
Presentation Type: Poster
Subject: Posterior Segment
Others:
Presenting Author:
Name: Hassan Behboudi
Affiliation :(optional) Guilan University of Medical Sciences
E mail: behboudi_dr@yahoo.com
Phone: 7720512
Mobile: 09111315333
Purpose:

to compare analgesic effects of topical anesthesia with tetracaine eye drop and intravenous fentanyl and remifentanil

Methods:

75 patients with ages between 40 and 80 years old , were enrolled in this study. patients were randomly divided into three groups of 25 cases. The first group were received analgesia using intravenous fentanyl 1.5 mic/kg and second group were received intravenous remifentanil 1 mic/kg. the third group were received only topical anesthesia with tetracaine 0.5 % ophthalmic drop. Intensity of pain was evaluated using numerical pain scale by a blinded observer. Vital sign were monitored and recorded.

Results:

the patients in topical anesthesia group suffer more pain than patients received analgesic and difference was significant (P < 0.05 ). Remifentanil and fentanyl perfectly suppress the pain associated with needle insertion and doesn’t cause clinically significant adverse cardiovascular , respiratory and other side effects . pain associated with bevacizumab injection between fentanyl and remifentanil was of insignificant difference (P > 0.05 )

Conclusion:

remifentanil is choice drug for analgesia in intravitreal bevacizumab injection

Attachment: 596sample.pptx





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  - بـیــست و سومین کنــگــره سـالیـانه انـجـمـن چـشـم پـزشـکی ایـــران