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Titolo:
Intraperitoneal bupivacaine vs. tramadol for pain relief following day case laparoscopic surgery
Autore:
Darwish, AM; Hassan, ZEAZ;
Indirizzi:
Assiut Univ Hosp, Dept Obstet & Gynaecol, Assiut, Egypt Assiut Univ Hosp Assiut Egypt sp, Dept Obstet & Gynaecol, Assiut, Egypt Assiut Univ Hosp, Dept Anaesthesia, Assiut, Egypt Assiut Univ Hosp Assiut Egypt niv Hosp, Dept Anaesthesia, Assiut, Egypt
Titolo Testata:
GYNAECOLOGICAL ENDOSCOPY
fascicolo: 3, volume: 8, anno: 1999,
pagine: 169 - 173
SICI:
0962-1091(199906)8:3<169:IBVTFP>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTOPERATIVE PAIN; STERILIZATION; MESOSALPINX;
Keywords:
analgesia; bupivacaine; laparoscopy; tramadol;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Darwish, AM Assiut Univ Hosp, Dept Obstet & Gynaecol, Assiut, Egypt AssiutUniv Hosp Assiut Egypt tet & Gynaecol, Assiut, Egypt
Citazione:
A.M. Darwish e Z.E.A.Z. Hassan, "Intraperitoneal bupivacaine vs. tramadol for pain relief following day case laparoscopic surgery", GYNAEC ENDO, 8(3), 1999, pp. 169-173

Abstract

Objectives To record the severity of pain following operative laparoscopicsurgery and to assess the effectiveness of either intraperitoneal infusionof bupivacaine or intravenous tramadol for postoperative pain relief. Design A prospective randomized study. Setting Gynaecologic Endoscopy Unit, Assiut University Hospital, Assiut, EgyptSubjects 90 patients undergoing day case laparoscopic surgery where a standard anaesthetic technique was used. Interventions Patients were randomly allocated to one of three groups according to the analgesia provided in the postoperative period. Group B received intraperitoneal bupivacaine (20 ml, 0.25%) through the laparoscopic cannula and another 5 mi which was injected around the incision sites. Group T received intravenous tramadol hydrochloride slowly in a dose of 2 mg/kg, after the end of the procedure and group P received placebo saline, 20 mi intraperitoneally and 5 mi at the incision sites, and a placebo saline 2-ml intravenous injection. Main outcome measures Each patient recorded the site of pain, and its severity using a 4-point verbal rating scale (0 = no pain to 3 = severe pain), at 30, 60, 120 and 240 min postoperatively We also recorded the maximum pain score, the need for fentanyl and the time to first analgesia in minutes. The suitability for same- or next-day discharge was also assessed in all patients. Results The trial showed a statistically significant reduction in pain scores up to 4h postoperatively in groups T and B compared with group P (P < 0.05). Also, the time to first analgesia was prolonged and there was less need for fentanyl and earlier discharge in groups T and B. Conclusions We concluded that both of the analgesic regimens used were satisfactory, but intraperitoneal bupivacaine showed better analgesic outcomesand is a useful contribution to analgesia in the immediate postoperative period after day-case laparoscopic surgery.

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Documento generato il 05/07/20 alle ore 00:07:29