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1、Safety and Efficary of Propranolol in Comparision With Combination of Fentanyl and Ketamine as Premedication in Cataract Surgery Under the Topical AnesthesiaFrom : Global Journal of Health Science;Vol.7,No.6;2015 ISSN 1916-9736 E-ISSN 1916-9744 Published by Canadian Center of Science and Education A

2、bstract: This study evaluated the safety and effects of propranolol as a premedication before cataract surgery and compared them with the usual combination doses of fentanyl and ketamine. Among all reffered patients to Feiz Hospital of Esfahan for cataract surgery, 122 patients between Mar to Sep 20

3、10 were enrolled in this study and randomly allocated into one of the following equal groups: 40 mg propranolol, 2 hours before surgery and combination of 15 mg ketamine and 50 g fentanyl l. 5 min before surgery. The ability to control of hemodynamic instabilities caused by stress and to gain patien

4、ts satisfaction was compared between two groups. Also, the efficacy of each premedication to control of hemodynamic changes during surgery were evaluated and compared. No significant differences were seen in the patients satisfaction and controlling of stress induced hemodynamic changes between two

5、groups (P0.05). However, patients in ketamine + fentanyl group showed more nausea and less pain during and after surgery. Moreover, no significant adverse effects were reported during and after the surgery. Our results demonstrated that propranolol can be used safely as a premedication in cataract s

6、urgery in the comparable efficacy to ketamine plus fentanyl premedication.IntroductionCataractPropranololConclusion:In conclusion our results demonstrated that propranolol can be used as premedication for cataract surgery without any complication and also provide similar and sometimes more efficacy than routine ketamine plus fentanyl premedication. However, further studies in di

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