title: Painless wakeful peribulbar block achieved safely with a single transconjunctival injection.
abstract: This single-injection, peribulbar technique provides a painless and efficacious block without the need for intravenous supplements. One hundred consecutive patients achieved lid akinesia and complete akinesia and anesthesia of the globe by the transconjunctival route. Only 1% needed a supplemental injection, and complications were minor and infrequent.
authors.affiliation: Jules Stein Eye Institute, University of California at Los Angeles, USA.
authors.forename: C R
authors.initials: CR
authors.lastname: Hulquist
mesh_terms: D000772:Anesthesia, Local / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage; D002387:Cataract Extraction; D003228:Conjunctiva; D004359:Drug Therapy, Combination; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000008:administration & dosage; D006863:Hydrogen-Ion Concentration; D007267:Injections; D008012:Lidocaine / Q000008:administration & dosage; D009407:Nerve Block / Q000379:methods*; D009915:Orbit; D010149:Postoperative Pain / Q000517:prevention & control*; D012189:Retrospective Studies; D017693:Sodium Bicarbonate; D014130:Trabeculectomy; D014851:Wakefulness
chemical_list: D000779:Anesthetics, Local; D017693:Sodium Bicarbonate; D008012:Lidocaine; D006821:Hyaluronoglucosaminidase; D002045:Bupivacaine