Postoperative analgesia after cesarean section by continued administration of levobupivacaine with the On-Q Painbuster system over the fascia vs ketorolac + morphine i.v.
| Autor: | Magnani E; Department of Gynecology, University of Rome 'La Sapienza', Rome, Italy., Corosu R, Mancino P, Borgia ML |
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| Jazyk: | angličtina |
| Zdroj: | Clinical and experimental obstetrics & gynecology [Clin Exp Obstet Gynecol] 2006; Vol. 33 (4), pp. 223-5. |
| Abstrakt: | Objective: This study aimed to detect if continuous local infusion of levobupivacaine with the On-Q Painbuster system provided postoperative analgesia of similar quality to morphine + ketorolac i.v. in patients undergoing cesarean section. Materials and Methods: Using a randomized prospective double-blind study, 20 women undergoing cesarean section with a standardized spinal technique were randomly assigned into two groups to receive either 10 mg morphine + 120 mg ketorolac + saline solution up to 96 ml with an elastomeric pump i.v. (group A) or local infusion of levobupivacaine 0.2% with the On-Q PAINBUSTER system (group B). Both groups were administered ketorolac i.v. in bolus in case of pain. Results: The two groups differed in their VAS scores with group A experiencing significantly less pain than group B; the consumption of analgesics was significantly lower in group A than in group B. Conclusions: The i.v. system with morphine and ketorolac is more effective than levobupivacaine subcutaneous infusion in reducing postoperative pain associated with cesarean section. |
| Databáze: | MEDLINE |
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