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- W2002484036 abstract "<h2>Abstract</h2><h3>Background</h3> Ophthalmologists are now encouraged to perform strabismus surgery as an outpatient procedure, but postoperative pain may be a barrier to discharge. Systemic analgesics have side effects or are contraindicated in some patients. We designed a trial to determine the efficacy of subtenons lidocaine injection at reducing postoperative pain and systemic analgesia requirements. <h3>Methods</h3> Children having unilateral primary horizontal muscle surgery were randomized to either receive an injection of 1 mL of 2% lidocaine into the inferonasal subtenons space or not. The child's parents, who were masked to the intervention, assessed pain over 4 hours postoperatively using an objective pain-scoring tool. <h3>Results</h3> Seventeen children received injections and 14 did not. Five of the subtenons group required additional analgesia (29%) compared to 9 of the controls (64%, χ<sup>2</sup>: <i>P</i> = .052). The pain scores at each time interval tended to be lower in the treatment group, compared to controls, statistically significantly so at the 2-hour observation (Mann-Whitney <i>U</i> test: <i>P</i> = .01). <h3>Conclusions</h3> These data provide some evidence of an association between the use of subtenons lidocaine injection and a reduction of pain experienced by children in the immediate postoperative period following primary strabismus surgery." @default.
- W2002484036 created "2016-06-24" @default.
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- W2002484036 date "2003-02-01" @default.
- W2002484036 modified "2023-09-29" @default.
- W2002484036 title "Subtenons lidocaine injection for postoperative pain relief after strabismus surgery in children: a pilot study" @default.
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- W2002484036 doi "https://doi.org/10.1016/s1091-8531(03)00054-5" @default.
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