A randomised comparison of lidocaine 2% gel and proparacaine 0.5% eye drops in paediatric squint surgery. (13th June 2013)

• Record Type: Journal Article
• Authors: Sinha, R.; Chandralekha, ; Batra, M.; Ray, B. R.; Mohan, V. K.; Saxena, R.
• Is Part Of: Anaesthesia. Volume 68:Number 7(2013:Jul.)
• Page Start: 747
• Page End: 752
• Publication Date: 2013-06-13
• Subjects: Anesthesia -- Periodicals; 617.96
• DOI: 10.1111/anae.12286
• Languages: English
• ISSNs: 0003-2409

Abstract

<abstract abstract-type="main" id="anae12286-abs-0001"> <title>Summary</title> <p>We conducted a randomised trial comparing lidocaine 2% gel with proparacaine 0.5% eye drops in children having elective squint surgery. One hundred and forty children aged between 3 and 14 years were recruited. The requirement for intra‐operative fentanyl and postoperative ibuprofen was significantly less in the lidocaine group compared with the proparacaine group (1 (1.7%) vs 12 (18.5%), p = 0.002 and 16 (27.6%) 38 (58.5%), p = 0.001, respectively). The incidence of postoperative nausea and vomiting was significantly less in the lidocaine group compared with the proparacaine group (6 (10.3%) vs 16 (24.6%), p = 0.04). There were no differences between the groups in terms of incidence and severity of the oculocardiac reflex. We conclude that, compared with proparacaine 0.5% eye drops, a single application of lidocaine 2% gel improves peri‐operative analgesia and reduces the incidence of postoperative nausea and vomiting in elective paediatric squint surgery.</p> </abstract>