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A double-masked randomized trial of postoperative local anesthetic for pain control in pediatric strabismus surgery

Laura B Enyedi1, David K Wallace1, Guy de L Dear2

  • 1Departments of Ophthalmology and Pediatrics, Duke University, Durham, North Carolina.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|March 15, 2017
PubMed

Insights

Sub-Tenon

Area of Science:

  • Ophthalmology
  • Anesthesiology
  • Pediatric Surgery

Background:

  • Pediatric strabismus surgery often involves significant postoperative pain.
  • Effective pain management is crucial for recovery and patient well-being in children.

Purpose of the Study:

  • To evaluate the efficacy of local anesthetics in reducing postoperative pain following pediatric strabismus surgery.
  • To compare the effects of topical lidocaine, sub-Tenon's bupivacaine, and placebo on pain levels.

Main Methods:

  • A double-masked, randomized clinical trial involving 50 children aged 13-91 months undergoing strabismus surgery.
  • Three treatment groups: topical lidocaine with sub-Tenon's placebo, topical placebo with sub-Tenon's bupivacaine, and dual placebo.
  • Pain was assessed using a validated scale by a masked observer.

Main Results:

  • Sub-Tenon's bupivacaine demonstrated significantly lower pain scores in the first 30 minutes compared to placebo (P=0.016).
  • The bupivacaine group experienced significantly less pain after 30 minutes, lower total pain, and reduced peak pain compared to the lidocaine group.

Conclusions:

  • Sub-Tenon's bupivacaine appears to be an effective method for reducing postoperative pain in children undergoing strabismus surgery.
  • This anesthetic approach may improve the overall recovery experience for pediatric patients.
Abstract

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