| Autor: |
Megalla, Sohair A., Abdelrazik, Amr, Soliman, Medhat M., Alsaeid, Mohammed A. |
| Předmět: |
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| Zdroj: |
Research & Opinion in Anesthesia & Intensive Care; Jul-Sep2021, Vol. 8 Issue 3, p121-127, 7p |
| Abstrakt: |
Background Effect of adding magnesium sulfate infiltration of pectoralis major muscle on postoperative pain following modified radical mastectomy (MRM) especially during arm movement. Patients and methods A total of 75 female patients with American Society of Anesthesiologists physical status I and II scheduled for MRM were allocated into three groups (25 patients each). Group M received magnesium sulfate infiltration in pectoralis major muscle plus bupivacaine wound infiltration. Group B received saline in pectoralis major muscle plus bupivacaine wound infiltration. Group C received saline for both pectoralis major muscle and wound infiltration. Postoperative pain score at rest and during arm elevation, time to first analgesic request, cumulative morphine consumption in 24 h, and possible complications were recorded. Results Assessment showed overall lower pain scores at rest and during elevation of the related arm in group M compared with groups B and C. Time to first analgesic request was longer in patients of group M, with significantly less amount of postoperative opioid consumption (P<0.0001), and consequently, less number of attacks of postoperative nausea and vomiting in the first postoperative 24 h. In group M, only 16% required morphine compared with 48 and 72% in bupivacaine and control groups, respectively. Conclusion Magnesium sulfate infiltration of pectoralis major muscle following MRM is simple and provides effective postoperative analgesia at rest and during arm elevation superior than bupivacaine wound infiltration alone, resulting in greater opioidsparing and better patient comfort. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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