Ol Zip likes 26 G peribulbar needle, 7/8", inferotemporal ,1 injection, 4cc of 0.75% marcaine and 4cc 4% lidocaine with smidgen of hyaluronidase. Versed 2mgs and fentanyl 50 mikes and propofol 30-50 mgs IV for sedation prior to block. Produces good akinesis and analgesia. What say you? ---Zippy
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peribulbar block techniques
Started by zippy2u
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i say you're lucky you have an optho team who lets you do it/
Similar techniques here, but we've all but abandoned doing the eye blocks for surgeons - the risks (from a financial/legal standpoint) outweigh the benefits. If the eye docs want them here, they have to do their own.
Of course 99% of cataracts are easily done with topicals anyway. Most of our vitreoretinal stuff is done with general anesthesia or MAC/eye block.
Of course 99% of cataracts are easily done with topicals anyway. Most of our vitreoretinal stuff is done with general anesthesia or MAC/eye block.
jwk said:
Amen, JWK. Amen.
We do them under topical anesth and MAC. At my previous gig the surgeons did them if they wanted them but I think they did topical also.MAC10 said:
I never learned that one.
zippy2u said:
ZIPPYS IN FLORIDA!!! Yet another piece of the puzzle trying to identify this esoteric anesthesiologist....
Hey Zip, how close are you to Bradenton, the city where I grew up?
How close are you to Fort Myers, where a buddy of mine is raking in Blow-Like cash?
zippy2u said:
GEEEZZZ! Its a small world after all! Zip has been to the planetarium!
