Intraperitoneal bupivacaine for the reduction of postoperative pain following operative laparoscopy: a pilot study and review of the literature
| Autor: | A. Magos, T Miskry, J Ruston, M N Varras, Lucie Buck |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Analgesic Pilot Projects Cohort Studies Gynecologic Surgical Procedures medicine Humans Postoperative Period Prospective Studies Anesthetics Local Prospective cohort study Laparoscopy Pain Measurement Bupivacaine Pain Postoperative medicine.diagnostic_test business.industry Obstetrics and Gynecology Middle Aged Surgery Clinical trial Treatment Outcome Opioid Case-Control Studies Anesthesia Female business Injections Intraperitoneal medicine.drug Cohort study |
| Zdroj: | Journal of Obstetrics and Gynaecology. 24:448-451 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/01443610410001685637 |
| Popis: | This pilot case-control study was carried out to determine the value of intraperitoneal irrigation with a long-acting local anaesthetic agent in reducing postoperative analgesic requirements following gynaecological operative laparoscopy. Twenty women undergoing gynaecological laparoscopic surgery were recruited to receive dilute bupivacaine instilled into the peritoneal cavity at the completion of surgery. Analgesic requirements were assessed during the first 10 hours, and pain scores at 4 and 24 hours. Analgesic requirements were then compared with historical controls. Our results revealed that the total parenteral opioid requirement after bupivacaine was significantly less than in the control group (0.50 mg vs. 7.17 mg, P=0.006). Oral analgesic requirements were not significantly different between the two groups. Pain scores in the bupivacaine group showed no difference at 4 and 24 hours postoperatively. Intraperitoneal irrigation with dilute bupivacaine at the end of gynaecological laparoscopic surgery appears to reduce early postoperative analgesic requirements in this pilot study. |
| Databáze: | OpenAIRE |
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