ISSN: 1300-0365
Dil: Türkçe
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Emla Cream Application In Peribulbar Anesthesia
Murat ÖZDEMİR*, Hafize ÖKSÜZ**, Beyazıt ZENCİRCİ**, Gökhan ÖZDEMİR*
* Yrd.Doç.Dr., K.S.Ü. Tıp Fakültesi Göz Hast. AD,**Yrd.Doç.Dr., K.S.Ü. Tıp Fakültesi Anestezi ve Reanimasyon AD, K.MARAŞ
Objective: To evaluate the efficacy of Emla cream in providing of analgesia during peribulbar anesthesia.
Materials and Methods: This double-masked randomized study was conducted by Ophthalmoloy and Anesthesiology Departments of Kahramanmaras Sütcüimam University between October-2001 and April-2002. Forty-six cases planned for extracapsular cataract extraction was divided into two groups. In Emla group, Emla was applied to injection area 60 minutes before peribulbar anesthesia while artificial tears gel (Viscotears jel) was applied in control group. Pain felt by patient during insertion of needle was scored by an anesthesiologist masked to the applied drug. Pain is scored by ?visual analog system' and ?verbal scoring system'. Mann-Whitney U test and chi square test were used for statistical evaluation.
Results: According to visual analog system, grade 0 had 12 (46%) patients in Emla group and 2 (10%) patients in control (Viscotears) group. For verbal scoring system, 18 (69%) cases in Emla group were in grade 1, 6 (23%) cases in grade 2 and 2 (%8) cases in grade 3. In placebo group, grade 1 had 2 (10%) cases, grade 2 had 10 (50%) cases and grade 3 had 8 (40%) cases. It was found that Emla group patients had less pain scores statistically (p<0.001). Any side effects related to Emla use wasn't recorded.
Conclusion: Emla cream is effective and reliable for analgesia during peribulbar anesthesia.Keywords: Emla cream, Peribulbar anesthesia, Pain analgesiaTürkiye Klinikleri Oftalmoloji 2003, 12:188-191
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