Effect of pre-emptive epidural low-dose magnesium sulfate on postoperative analgesic requirement after open abdominal hysterectomy
المؤلف
المصدر
Ain Shams Journal of Anesthesiology
العدد
المجلد 7، العدد 2 (30 يونيو/حزيران 2014)، ص ص. 226-231، 6ص.
الناشر
جامعة عين شمس كلية الطب قسم التخدير
تاريخ النشر
2014-06-30
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
Objectives The aim of the study was to evaluate the efficacy of single-shot epidural injection of combined low-dose magnesium sulfate with levobupivacaine as a pre-emptive analgesic to decrease the postoperative analgesic requirement in female patients undergoing abdominal hysterectomy.
Patients and Methods The study included 90 ASA I–II adult female patients assigned for open abdominal hysterectomy.
Patients were randomly allocated into two equal groups: group L received single-shot epidural plain levobupivacaine 0.25% and group M received single-shot epidural levobupivacaine 0.25% mixed with 50 mg MgSO4.
The intensity of postoperative pain was measured with 0–100 point visual analog scale (VAS).
Rescue analgesia was given if patients had VAS scores of 40 or more and the duration of analgesia was determined.
The degree of sedation was assessed 30 and 120 min after admission to the recovery room using the fourpoint Brussels Sedation Scale.
Results Cumulative pain VAS until the end of first postoperative 24 h was significantly lower in patients who received combined epidural therapy compared with those who received local anesthetic alone.
Moreover, pain-free duration was significantly longer in group M compared with group L.
Throughout 24 h after surgery, 31 patients requested rescue analgesia only once, 37 patients requested it twice, 16 patients requested it three times, and only six patients required rescue analgesia for more than three times.
Patients who received combined therapy requested rescue analgesia at significantly lower frequency compared with those who received local anesthetic alone.
Patients enrolled in group M showed a significantly lower mean sedation score at 30 min; however, at 120 min postoperatively, the score was nonsignificantly lower in comparison with group L.
Conclus ion Pre-emptive epidural bolus of magnesium sulfate and levobupivacaine provides postoperative analgesia superior to epidural levobupivacaine alone for patients undergoing open abdominal hysterectomy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Shabanah, Ramadan. 2014. Effect of pre-emptive epidural low-dose magnesium sulfate on postoperative analgesic requirement after open abdominal hysterectomy. Ain Shams Journal of Anesthesiology،Vol. 7, no. 2, pp.226-231.
https://search.emarefa.net/detail/BIM-649328
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Shabanah, Ramadan. Effect of pre-emptive epidural low-dose magnesium sulfate on postoperative analgesic requirement after open abdominal hysterectomy. Ain Shams Journal of Anesthesiology Vol. 7, no. 2 (Apr. / Jun. 2014), pp.226-231.
https://search.emarefa.net/detail/BIM-649328
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Shabanah, Ramadan. Effect of pre-emptive epidural low-dose magnesium sulfate on postoperative analgesic requirement after open abdominal hysterectomy. Ain Shams Journal of Anesthesiology. 2014. Vol. 7, no. 2, pp.226-231.
https://search.emarefa.net/detail/BIM-649328
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 231
رقم السجل
BIM-649328
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر