The Use of Intraperitoneal Bupivacaine in Laparoscopic Roux-en-Y Gastric Bypass: a Double-blind, Randomized Controlled Trial
| Autor: | Gijs D. Algie, Robert M. Smeenk, Ruben Schouten, Manon Schouten, Tugba Yalcin, Iris E. Schipper, Stefan L. Damen |
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| Rok vydání: | 2019 |
| Předmět: |
Laparoscopic surgery
Adult Male Side effect Visual Analog Scale Visual analogue scale Endocrinology Diabetes and Metabolism medicine.medical_treatment Gastric Bypass 030209 endocrinology & metabolism law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Double-Blind Method law medicine Humans Clinical significance Prospective Studies Anesthetics Local Bupivacaine hydrochloride Bupivacaine Aerosols Pain Postoperative Nutrition and Dietetics business.industry Length of Stay Middle Aged Roux-en-Y anastomosis Drug Utilization Analgesics Opioid Anesthesia Antiemetics 030211 gastroenterology & hepatology Surgery Female Laparoscopy business Injections Intraperitoneal medicine.drug |
| Zdroj: | Obesity surgery. 29(10) |
| ISSN: | 1708-0428 |
| Popis: | Several studies have shown a reduction in postoperative pain and length of hospital stay when using intraperitoneal local anesthetics during laparoscopic surgery. In morbidly obese patients, respiratory depression due to opioid use is a serious side effect. Any different type of analgesia is therefore clinically relevant. To assess the effect of intraperitoneal bupivacaine on postoperative pain after laparoscopic Roux-en-Y gastric bypass (LRYGB). Between March and November 2017, 130 patients were included and randomly assigned to receive 20 ml or 0 ml of 2.5% bupivacaine hydrochloride sprayed onto the diaphragm. Pain scores for abdominal and shoulder pain were conducted using the visual analogue scale (VAS) for pain score at 0, 1, 6, and 24 h postoperatively. The length of hospital stay and use of analgesics was recorded in digital patient records. The primary outcome is the pain scores and the secondary outcomes are postoperative use of opioids or antiemetics and length of hospital stay. The study and control group contained respectively 66 and 61 patients. Patient characteristics were equal in both groups (p |
| Databáze: | OpenAIRE |
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