Journals / Türk Anestezi ve Reanimasyon Dergisi / 2003 / Cilt: 31 - Sayı: 9

Comparison of effects of bupivacain 0.25 % and 0.5 % postoperative analgesia when used for infiltrative anaeshesia

İnfiltratif % 0.5 ve % 0.25'lik bupivakain uygulamasının postoperatif analjezi üzerine olan etkilerinin karşılaştırılması

Pages
462–467
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Postoperative pain scores at 1., 15., 45. minutes and 6. hours were determined higher in BUP II than BUP I (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Infiltrative blockade seems to be a simple, safe and efficient method in controlling postoperative pain.
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Key Findings & Data:Patients were randomly divided into two groups of 20 patients.
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Conclusion & Impact:Postoperative pain scores at 1., 15., 45. minutes and 6. hours were determined higher in BUP II than BUP I (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Infiltrative blockade seems to be a simple, safe and efficient method in controlling postoperative pain. The goal of the current study is to evaluate the effects of different concentrations of bupivacaine on postoperative analgesia. Forty ASA physical status I-II patients undergoing elective varicoselectomy were included into the study. Patients were randomly divided into two groups of 20 patients. At the end of the operation, before the wound closure patients in BUP I received 20 mL of bupivacaine hydrochloride 0.50 % and those in BUP II received 20 mL of bupivacaine 0.25 % via infiltration into the fascia and subcutaneous tissue. Postoperative pain was assessed by visual analog scale (VAS) during the 1., 15., 45., 60. minutes and 2., 6., 12., 24. hours postoperatively. Supplementary analgesics (meperidine 1 mg kg-1 intramuscular) were applied to the patients with VAS values higher than 4. There was no statistically significant difference between the groups according to the demographic-hemodynamic data and duration of the surgery. Postoperative pain scores at 1., 15., 45. minutes and 6. hours were determined higher in BUP II than BUP I (p

Özet

İnfiltratif blokaj; postoperatif ağrının kontrolünde basit, güvenli ve etkili bir yöntem olarak görülmektedir. Bu çalışmanın amacı; farklı konsantrasyonlardaki bupivakain'in postoperatif analjezik etkinliğini araştırmaktır. ASA I-II sınıflamasında 40 elektif varikoselektomi hastası çalışmaya dahil edildi. Hastalar rasgele 20 hastalık iki gruba ayrıldı. Cerrahinin sonunda cerrahi kesi kapatılmadan önce BUP I grubuna 20 mL % 0.5 bupivakain hidroklorid, BUP II grubuna 20 mL % 0.25 bupivakain hidroklorid cilt altı ve fasiyaya infiltre edildi. Postoperatif ağrı; Visual Analog Scale (VAS) kullanılarak 1., 15., 45., 60. dakikalarda ve 2., 6., 12., 24. saatlerde değerlendirildi. VAS değerleri 4'den daha yüksek olan hastalara ek analjezik olarak meperidin 1 mg kg-1 intramusküler olarak uygulandı. Gruplar arasında demografik ve hemodinamik veriler ile cerrahi süreler arasında istatistiksel olarak anlamlı bir farklılık yoktu. Postoperatif 1., 15., 45. dakika ve 6. saat ağrı skorlarının BUP II'de BUP I'e oranla yüksek olduğu belirlendi (p

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Cite This Article

DORUK, N., ATICI, Ş., ERDEM, E., BİLGİN, T. E., ALTUNKAN, Ö. Z., ÇAMDEVİREN, H., ORAL, U. (2022). Comparison of effects of bupivacain 0.25 % and 0.5 % postoperative analgesia when used for infiltrative anaeshesia. Türk Anestezi ve Reanimasyon Dergisi, Cilt: 31 - Sayı: 9, 462–467. https://ajindex.com/articles/620226

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References (14)

  1. Erdine S, AĞRI, 2. Baskı. İstanbul: Nobel Tıp Kitabevi; 2002; s.118-136
  2. Patel JM, Lanzafame RJ, Williams JS, Mullen BV, Hinshaw SR. The effect of İncisional infiltration of bupivacaine hydrochloride upon pulmonary functions, atelectasis and narcotic need following elective cholecystectomy. Surg Gynecol Obstet 1983; 157:338-340
  3. Rawal N, Axelsson K. Hylander J, et al. Postoperative patient controlled local anaesthetics administration at home. Anesth Analg 1998; 86:86-89
  4. Miller DR. Anesthesia. 4th ed. New York: Churchill Livingstone inc 1994; p.489-552
  5. Zohar E, Fredman B, Phillipov A, Jedeikin R, Shapiro A. The analgesic efficacy of patient-controlled bupivacaine wound instillation After total abdominal hysterectomy with bilateral salpingo-oophorectomy. Anesth Analg 2001; 93:482-487
  6. Bultmann M, Streich R, Risse A, Falke KJ, Pappert D. Postoperative analgesia in children after hernioplasty: Wound infiltration with different concentrations of bupivacaine: a pilot study. Anaesthesist 1999; 48:439-443
  7. Ng A, Swami A, Smith G, Davidson AC, Emembolu J. The analgesic effects of intraperitoneal and incisional bupivacaine with epinephrine after total abdominal hysterectomy. Anesth Analg 2002; 95:158-162
  8. Dierking G, Ostergaard E, Ostergard H, Dahl J. The effects of wound infiltration with bupivacaine versus saline on postoperative pain and opiyoid requirements after herniorraphy. Acta Anaehthesiologica Scandinavica 1994; 38:289-292
  9. Zohar E, Luban I, Zunser I, et al. Patient-controlled bupivacaine wound instillation following ccsarean section: The lack of efficacy of adjuvant ketamine. Journal of Clinical Anesthesia 2002; 14:505-511
  10. Elliot S, Eckersall S, Fligelstone L, Jothilingam S. Does the addition of clonidine affect duration of analgesia of bupivacaine wound infiltration in inguinal hernia surgery? Br J Anaesth 1997:79:446-449
  11. Klein JR, Heaton.IP, Thompson JP, et al. Infiltration of the abdominal wall with local anesthetic after lotal abdominal hysterectomy has no opiyoid-sparing effect. Br J Anaesth 2000; 84(2):248-249
  12. Gibbs P, Purushotam A, Auld C, Cuschieri RJ. Continuous wound perfusion wilh bupivacaine for postoperative wound pain. Br J Surg 1988; 75:923-924
  13. Ke RW, Fortera SG, Bagous W, Lincoln SR. A randomized double-blinded trial of preemptive analgesia in laparoscopy. Obstel Gynccol 1998; 92:972-975
  14. Adams WJ, Avramovic J, Barracloungh BH. Wound infiltration with 0.25 % bupivacaine not effective fo