The effects of pre-emptive analgesia with bupivacaine on acute post-laminectomy pain

Autor: Şeyho Cem Yücetaş, Cengiz Mordeniz, Fuat Torun, Ahmet Faruk Soran, Ahmet Cakir, Hamza Karabag, Orhan Beyazoglu
Rok vydání: 2009
Předmět:
Zdroj: Archives of orthopaedic and trauma surgery. 130(2)
ISSN: 1434-3916
Popis: This is a prospective, non-randomized, hospital-based, case-controlled, clinical trial to assess the efficacy of perineural infiltration with bupivacaine at the related neural root for acute pain relief after lumbar laminectomy. Fifty-one patients undergoing unilateral one spinal level (lumbar 4) hemi-partial laminectomy were included in the study. In 22 of the patients (Group 2), bupivacaine was infiltrated onto the neural root immediately after the exposure; the 29 patients in the control group (Group 1) were not infiltrated. All patients were monitored post-operatively regarding pain determination using a visual analog scale, and the exact time of analgesic requirement during the first post-operative day was noted. Total analgesic dose given during the first post-operative day was also recorded. The patients who received bupivacaine infiltration intraoperatively onto the neural root (Group 2) had a statistically significantly longer time to first analgesia request (P
Databáze: OpenAIRE