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Titolo:
Preoperative ropivacaine infiltration in breast surgery
Autore:
Johansson, A; Axelson, J; Ingvar, C; Luttropp, HH; Lundberg, J;
Indirizzi:
Univ Lund Hosp, Dept Anaesthesiol & Intens Care, S-22185 Lund, Sweden UnivLund Hosp Lund Sweden S-22185 l & Intens Care, S-22185 Lund, Sweden Univ Lund Hosp, Dept Surg, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 Hosp, Dept Surg, S-22185 Lund, Sweden
Titolo Testata:
ACTA ANAESTHESIOLOGICA SCANDINAVICA
fascicolo: 9, volume: 44, anno: 2000,
pagine: 1093 - 1098
SICI:
0001-5172(200010)44:9<1093:PRIIBS>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTOPERATIVE PAIN RELIEF; INGUINAL-HERNIA REPAIR; WOUND INFILTRATION; LOCAL INFILTRATION; BUPIVACAINE; NAUSEA; GRANISETRON; ANESTHESIA; REDUCTION; ANALGESIA;
Keywords:
anesthesia, wound infiltration; local anesthetics, ropivacaine; main measures, postoperative; pain, nausea and vomiting; surgery, breast; nursing, pain, nausea and vomiting;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Johansson, A Univ Lund Hosp, Dept Anaesthesiol & Intens Care, S-22185 Lund, Sweden Univ Lund Hosp Lund Sweden S-22185 re, S-22185 Lund, Sweden
Citazione:
A. Johansson et al., "Preoperative ropivacaine infiltration in breast surgery", ACT ANAE SC, 44(9), 2000, pp. 1093-1098

Abstract

Purpose: The aim of the study was to investigate whether preoperative infiltration with ropivacaine in conjunction with breast surgery improves postoperative pain management and attenuates postoperative nausea and vomiting. Method: Prospective, randomised, double-blind study, including 60 healthy women (ASA 1-2) allocated to one of two groups. Thirty patients were given 0.3 ml/kg saline in the operating field before surgery. Another 30 patientsreceived a similar volume of ropivacaine 3.75 mg/ml. A visual analogue scale (0-100 mm) was used for evaluation of postoperative pain, nausea and vomiting. If the score was more than 30 mm at rest, the patients were given ketobemidone i.v. as treatment for postoperative pain, and dixyrazine i.v. against nausea and vomiting. The intra- and postoperative analgesic requirements and postoperative nausea and vomiting were registered. Results: The intraoperative fentanyl consumption was similar in the salinegroup 81 +/- 22 mu g vs 76 +/- 28 mu g; (ns) in the ropivacaine group. Thepostoperative 24-h ketobemidone consumption was also similar to those treated with ropivacaine (4.2 +/- 2.6 mg vs 4.2 +/- 4.3 mg; ns). Postoperative nausea and vomiting (PONV) occurred with similar frequencies in both groups. The 24-h dixyrazine consumption was the same in the two groups (2.1 +/- 2.7 mg in the saline group compared to 2.4 +/- 2.8 mg in the ropivacaine group; ns). After 6 h recovery, 41% of all patients had experienced nausea and20% vomiting. Conclusion: We found no differences in postoperative pain management between 3.75 mg/ml ropivacaine and saline wound infiltration before breast surgery. The data show similar postoperative needs of analgesics and antiemeticswith a similar frequency of PONV.

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Documento generato il 30/11/20 alle ore 06:50:17