Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFRPE |
Texto Completo: | http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5161 |
Resumo: | Among the regional anesthesia techniques, peribulbar block is becoming increasingly used for providing akinesia, with less risk of complications. Clonidine is a α₂ adrenoceptor agonist, commonly used as an adjuvant in retrobulbar, peribulbar and subtenon block in medicine, extending akinesia and analgesia. Hyaluronidase is an enzyme widely used as an adjuvant in orbital, which purpose is to facilitate the spreading of local anesthetic in the eye space. The objective of this study was to evaluate if the addition of clonidine and hyaluronidase associated with lidocaine 2% in peribulbar anesthesia, promotes sufficient block for accomplishment of cataract surgery. In the prospective study included 14 patients of both sexes, who were administered 1 ml of lidocaine 2% more hyaluronidase 25 UTR/ml, associated with 1,5 μg /kg of clonidine diluted in 0,5 ml of solution sodium chloride 0,9%. They were assessed before, during and after anesthesia: pupillary diameter, bulbar centralization period (PCB), motor block duration (PDM), mean arterial pressure, heart rate, respiratory rate, peripheral arterial oxygen saturation and dosage of glucose. It was observed that the PCB was 51 ± 12 seconds with PDM 108 ± 24 minutes with duration of surgery of 58,7 ± 16,4 minutes. In relation to the pupil diameter, statistically significant differences was observed when compared this parameter at the time before blocking with time after the block. It is concluded that clonidine (1,5 μg/kg) more hyaluronidase (25 UTR/ml), added with lidocaine 2% in peribulbar anesthesia in cataract surgery, promoted efficiently eyeball centralization on a short time, and cause increased pupil diameter and length of bulbar akinesia sufientes for performing cataract surgery, with IOP values within normal limits and with few adverse events. |
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EVÊNCIO NETO, JoaquimSÁ, Fabrício Bezerra deANDRADE, Lilian Sabrina Silvestre deANDRADE, Moacir Bezerra deRÊGO, Mariana Gomes dohttp://lattes.cnpq.br/9109932863477596SIQUEIRA FILHO, Robério Silveira de2016-08-03T12:34:03Z2015-12-21SIQUEIRA FILHO, Robério Silveira de. Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata. 2015. 55 f. Dissertação (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5161Among the regional anesthesia techniques, peribulbar block is becoming increasingly used for providing akinesia, with less risk of complications. Clonidine is a α₂ adrenoceptor agonist, commonly used as an adjuvant in retrobulbar, peribulbar and subtenon block in medicine, extending akinesia and analgesia. Hyaluronidase is an enzyme widely used as an adjuvant in orbital, which purpose is to facilitate the spreading of local anesthetic in the eye space. The objective of this study was to evaluate if the addition of clonidine and hyaluronidase associated with lidocaine 2% in peribulbar anesthesia, promotes sufficient block for accomplishment of cataract surgery. In the prospective study included 14 patients of both sexes, who were administered 1 ml of lidocaine 2% more hyaluronidase 25 UTR/ml, associated with 1,5 μg /kg of clonidine diluted in 0,5 ml of solution sodium chloride 0,9%. They were assessed before, during and after anesthesia: pupillary diameter, bulbar centralization period (PCB), motor block duration (PDM), mean arterial pressure, heart rate, respiratory rate, peripheral arterial oxygen saturation and dosage of glucose. It was observed that the PCB was 51 ± 12 seconds with PDM 108 ± 24 minutes with duration of surgery of 58,7 ± 16,4 minutes. In relation to the pupil diameter, statistically significant differences was observed when compared this parameter at the time before blocking with time after the block. It is concluded that clonidine (1,5 μg/kg) more hyaluronidase (25 UTR/ml), added with lidocaine 2% in peribulbar anesthesia in cataract surgery, promoted efficiently eyeball centralization on a short time, and cause increased pupil diameter and length of bulbar akinesia sufientes for performing cataract surgery, with IOP values within normal limits and with few adverse events.Dentre as técnicas de anestesia regional, o bloqueio peribulbar vem se tornando cada vez mais utilizado por proporcionar acinesia, com menor risco de complicações. A clonidina é um agonista do receptor α₂ adrenérgico, frequentemente usado como adjuvante em bloqueios retrobulbar, peribulbar e subtenoniano na medicina, por prolongar a acinesia e analgesia. A hialuronidase é uma enzima bastante utilizada como adjuvante em bloqueios orbitais, cuja finalidade é facilitar a difusão do anestésico local no espaço ocular. Objetivou-se no presente estudo avaliar se o uso da clonidina e hialuronidase associada à lidocaína 2% na anestesia peribulbar em cães, promovem bloqueio e anestesia do bulbo ocular suficientes para a realização de cirurgia de catarata. No estudo prospectivo, foram incluídos 14 pacientes provenientes da casuística do Laboratório de Oftalmologia Experimental (LOE) do Hospital Veterinário da Universidade Federal Rural de Pernambuco (HOVET/UFRPE), de ambos os sexos, aos quais foram administrados, 1 mL de lidocaína 2% mais hialuronidase 25 UTR/ML, associada a 1,5 μg/kg de clonidina diluída em 0,5 mL de solução de cloreto de sódio a 0,9%. Foram avaliados na pré, trans e pós-anestesia: diâmetro pupilar, período de centralização bulbar (PCB), período de duração do bloqueio motor (PDM), pressão arterial média, frequência cardíaca, frequência respiratória, saturação arterial periférica de oxigênio e dosagem de glicose. Observou-se que o PCB foi de 51 ± 12 segundos, com PDM de 108± 24 minutos e tempo de cirurgia de 58,7± 16,4 minutos. Em relação ao diâmetro pupilar, ocorreu diferença estatística significativa, quando comparado este parâmetro no momento antes do bloqueio com o momento após o bloqueio. Conclui-se que a clonidina mais hialuronidase, adicionada à lidocaína 2% na anestesia peribulbar em cirurgia de catarata, promoveu de forma eficiente a centralização do globo ocular em um curto espaço de tempo, além de ocasionar aumento do diâmetro pupilar e tempo de acinesia bulbar sufientes para a realização de cirurgia de catarata, com valores de pressão intraocular (PIO) dentro da normalidade e com poucos eventos adversos.Submitted by Mario BC (mario@bc.ufrpe.br) on 2016-08-03T12:34:03Z No. of bitstreams: 1 Roberio Silveira de Siqueira Filho.pdf: 1370952 bytes, checksum: a6124380b8ab4327bbe68bf362dbde38 (MD5)Made available in DSpace on 2016-08-03T12:34:03Z (GMT). No. of bitstreams: 1 Roberio Silveira de Siqueira Filho.pdf: 1370952 bytes, checksum: a6124380b8ab4327bbe68bf362dbde38 (MD5) Previous issue date: 2015-12-21application/pdfporUniversidade Federal Rural de PernambucoPrograma de Pós-Graduação em Ciência VeterináriaUFRPEBrasilDepartamento de Medicina VeterináriaClonidinaHialuronidaseLidocaínaAnestesia peribulbarCãoCirurgia veterináriaFacectomiaOftalmologia veterináriaAnestesiaCatarataCIENCIAS AGRARIAS::MEDICINA VETERINARIAEfeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarataEffect of clonidine and hyaluronidase associated with lidocaine in peribulbar anesthesia in dogs submitted to cataract surgeryinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-3061482854177903105600600600-3020210563763616780453670264235017319info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFRPEinstname:Universidade Federal Rural de Pernambuco (UFRPE)instacron:UFRPELICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://www.tede2.ufrpe.br:8080/tede2/bitstream/tede2/5161/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51ORIGINALRoberio Silveira de Siqueira Filho.pdfRoberio Silveira de Siqueira Filho.pdfapplication/pdf1370952http://www.tede2.ufrpe.br:8080/tede2/bitstream/tede2/5161/2/Roberio+Silveira+de+Siqueira+Filho.pdfa6124380b8ab4327bbe68bf362dbde38MD52tede2/51612018-02-27 12:21:49.284oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.tede2.ufrpe.br:8080/tede/PUBhttp://www.tede2.ufrpe.br:8080/oai/requestbdtd@ufrpe.br ||bdtd@ufrpe.bropendoar:2018-02-27T15:21:49Biblioteca Digital de Teses e Dissertações da UFRPE - Universidade Federal Rural de Pernambuco (UFRPE)false |
dc.title.por.fl_str_mv |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
dc.title.alternative.eng.fl_str_mv |
Effect of clonidine and hyaluronidase associated with lidocaine in peribulbar anesthesia in dogs submitted to cataract surgery |
title |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
spellingShingle |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata SIQUEIRA FILHO, Robério Silveira de Clonidina Hialuronidase Lidocaína Anestesia peribulbar Cão Cirurgia veterinária Facectomia Oftalmologia veterinária Anestesia Catarata CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
title_short |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
title_full |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
title_fullStr |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
title_full_unstemmed |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
title_sort |
Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata |
author |
SIQUEIRA FILHO, Robério Silveira de |
author_facet |
SIQUEIRA FILHO, Robério Silveira de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
EVÊNCIO NETO, Joaquim |
dc.contributor.advisor-co1.fl_str_mv |
SÁ, Fabrício Bezerra de |
dc.contributor.referee1.fl_str_mv |
ANDRADE, Lilian Sabrina Silvestre de |
dc.contributor.referee2.fl_str_mv |
ANDRADE, Moacir Bezerra de |
dc.contributor.referee3.fl_str_mv |
RÊGO, Mariana Gomes do |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9109932863477596 |
dc.contributor.author.fl_str_mv |
SIQUEIRA FILHO, Robério Silveira de |
contributor_str_mv |
EVÊNCIO NETO, Joaquim SÁ, Fabrício Bezerra de ANDRADE, Lilian Sabrina Silvestre de ANDRADE, Moacir Bezerra de RÊGO, Mariana Gomes do |
dc.subject.por.fl_str_mv |
Clonidina Hialuronidase Lidocaína Anestesia peribulbar Cão Cirurgia veterinária Facectomia Oftalmologia veterinária Anestesia Catarata |
topic |
Clonidina Hialuronidase Lidocaína Anestesia peribulbar Cão Cirurgia veterinária Facectomia Oftalmologia veterinária Anestesia Catarata CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
description |
Among the regional anesthesia techniques, peribulbar block is becoming increasingly used for providing akinesia, with less risk of complications. Clonidine is a α₂ adrenoceptor agonist, commonly used as an adjuvant in retrobulbar, peribulbar and subtenon block in medicine, extending akinesia and analgesia. Hyaluronidase is an enzyme widely used as an adjuvant in orbital, which purpose is to facilitate the spreading of local anesthetic in the eye space. The objective of this study was to evaluate if the addition of clonidine and hyaluronidase associated with lidocaine 2% in peribulbar anesthesia, promotes sufficient block for accomplishment of cataract surgery. In the prospective study included 14 patients of both sexes, who were administered 1 ml of lidocaine 2% more hyaluronidase 25 UTR/ml, associated with 1,5 μg /kg of clonidine diluted in 0,5 ml of solution sodium chloride 0,9%. They were assessed before, during and after anesthesia: pupillary diameter, bulbar centralization period (PCB), motor block duration (PDM), mean arterial pressure, heart rate, respiratory rate, peripheral arterial oxygen saturation and dosage of glucose. It was observed that the PCB was 51 ± 12 seconds with PDM 108 ± 24 minutes with duration of surgery of 58,7 ± 16,4 minutes. In relation to the pupil diameter, statistically significant differences was observed when compared this parameter at the time before blocking with time after the block. It is concluded that clonidine (1,5 μg/kg) more hyaluronidase (25 UTR/ml), added with lidocaine 2% in peribulbar anesthesia in cataract surgery, promoted efficiently eyeball centralization on a short time, and cause increased pupil diameter and length of bulbar akinesia sufientes for performing cataract surgery, with IOP values within normal limits and with few adverse events. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-12-21 |
dc.date.accessioned.fl_str_mv |
2016-08-03T12:34:03Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
SIQUEIRA FILHO, Robério Silveira de. Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata. 2015. 55 f. Dissertação (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife. |
dc.identifier.uri.fl_str_mv |
http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5161 |
identifier_str_mv |
SIQUEIRA FILHO, Robério Silveira de. Efeito da clonidina e hialuronidase associada à lidocaína na anestesia peribulbar em cães submetidos à cirurgia de catarata. 2015. 55 f. Dissertação (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife. |
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http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5161 |
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por |
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por |
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openAccess |
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Universidade Federal Rural de Pernambuco |
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Programa de Pós-Graduação em Ciência Veterinária |
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UFRPE |
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Universidade Federal Rural de Pernambuco |
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