Evaluation of anesthesia manual for strabismus correction surgeries in outpatient practice among children and impact of anesthesia on early recovery after surgery

Abstract

The majority of strabismus correction surgeries are performed in outpatient conditions. Improving the quality of pain management is essential to avoid undesirable events, especially among children after general anesthesia during strabismus surgery. The use of opioid analgesia during surgery may be accompanied by a higher risk of postoperative nausea and vomiting, as well as longer sedation leading to delayed discharge from hospital. The local 0.4% hydrochloride oxybuprocaine anesthetic has a local pro-active analgesic effect on the operated eye prior to the surgical incision, and later the additional use of drops in the surgical field eliminates the need for further analgesic administration in the perioperative and postoperative period without any subsequent sedation or significant nausea and vomiting episodes that are observed with intravenous fentanyl injection. The results of the study showed that the local application of 0.4% oxybuprocaine is comparable in the effect with intravenous fentanyl injection in achieving the desired optimal effect in the perioperative and postoperative periods and contributes to discharge from hospital in the near future.