Enhancing comfort in blepharoplasty: The efficacy of additional premedication with oral ultracod and EMLA ointment [Session Winner Abstract - III place]
| Date | Start Page | End Page |
|---|---|---|
2024-05-04 | 166 | 166 |
Scientific research supervisors: Assoc. prof. Loreta Pilipaitytė, Dr. Ernest Zacharevskij, Dr. Rūta Žuklytė
Objectives. During minor surgeries under local anaesthesia, anaesthetic injections are often the most painful aspect. To alleviate this, the use of topical anaesthetic cream EMLA is considered. However, its efficacy for periocular injections lacks strong evidence. This study aims to assess the effectiveness of additional premedication with oral Ultracod and EMLA in reducing pain and improving postoperative comfort. Materials and methods. A retrospective study involved 80 female patients who underwent blepharoplasty at the Hospital of Lithuanian University of Health Sciences in 2023. The study participants did not exhibit any co-morbidities or harmful habits. The study groups comprised Group A (GA) (n=40), receiving oral midazolam and Group B (GB) (n=40), administered preoperative EMLA eyelid ointment, oral midazolam and Ultracod tablets. Statistical analyses employed the Mann-Whitney U and chi-squared test. Results. No statistically significant differences were observed in demographic parameters between groups, with a mean age of 51.89 ± 4.543 and BMI of 28.43 ± 5.469. There was no statistically significant difference between GA (Mdn=2) and GB (Mdn=2) in pain during anaesthetic injection. Statistically significantly patients felt less pain in GB (Mdn=0) than in GA (Mdn=1) (U=515.5, p=0.0056) during surgery. Significantly higher postoperative pain was experienced in GA (Mdn=2.5) compared to GB (Mdn=1) (U=367, p<0.0001). Among patients who reported postoperative pain in both groups, with no significant difference, it was experienced only on the day of surgery and started 1-2 h after blepharoplasty. Conclusions. The additional premedication with Ultracod and EMLA has been found to reduce pain during and after surgery. Although there was no difference in pain at the time of injection, we can assume that additional premedication with Ultracod and EMLA is effective for blepharoplasty.