Randomized clinical trial comparing two different techniques of local anesthesia (subcutaneous versus subcutaneous and deep infiltration) for postoperative pain in patients undergoing open appendecectomy
Joint Authors
Hidaya, Muhammad S.
Izzat, Husayn M.
Fayid, M. Mahir H.
Salamah, A. F.
Hilmi, Ahmad H.
Rifat, Ahmad I.
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 45, Issue 1 (30 Apr. 2015), pp.177-182, 6 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2015-04-30
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
This study compared the postoperative analgesic effect of local anesthetic (LA) injected subcutaneous (SC) alone versus local anesthetic injected both SC and deep in patients undergoing open appendecectomy operations.
Sixty patients ASA class I- II undergoing open appendecectomy for presumed acute appendicitis will be randomly assigned into three groups.
After routine monitoring, anesthesia induction was performed with propofol, fentanyl and, cis-atracurium; later, maintenance was continued with isoflurane.
GA received local infiltration of the skin prior to incision with bupivacaine 0.25% (10ml), GB received received half the bupivacaine infiltrated into the skin and other half deep-to external oblique prior to incision to create a local nerve field blockade & GC received half dose of saline subcutaneous & half deep to external oblique muscle prior to incision.
Postoperative pain was assessed using visual analogue score (VAS) at 1, 4, 8, & 24 hours post extubation.
Pethidine 1 mg/kg was given if VAS is ≥4.
All patients in GA (SC) and Control required postoperative analgesics, compared to only 60% of the patients in GB (SC+ deep).
Time for the first analgesic requirement was prolonged in GB compared to other groups (P<0.01).
VAS scores were significantly lower in patients of GB in the first 8 hr.
postoperative compared to GA &GC (P < 0.01).
American Psychological Association (APA)
Rifat, Ahmad I.& Hidaya, Muhammad S.& Izzat, Husayn M.& Fayid, M. Mahir H.& Salamah, A. F.& Hilmi, Ahmad H.. 2015. Randomized clinical trial comparing two different techniques of local anesthesia (subcutaneous versus subcutaneous and deep infiltration) for postoperative pain in patients undergoing open appendecectomy. Journal of the Egyptian Society of Parasitology،Vol. 45, no. 1, pp.177-182.
https://search.emarefa.net/detail/BIM-563675
Modern Language Association (MLA)
Rifat, Ahmad I.…[et al.]. Randomized clinical trial comparing two different techniques of local anesthesia (subcutaneous versus subcutaneous and deep infiltration) for postoperative pain in patients undergoing open appendecectomy. Journal of the Egyptian Society of Parasitology Vol. 45, no. 1 (Apr. 2015), pp.177-182.
https://search.emarefa.net/detail/BIM-563675
American Medical Association (AMA)
Rifat, Ahmad I.& Hidaya, Muhammad S.& Izzat, Husayn M.& Fayid, M. Mahir H.& Salamah, A. F.& Hilmi, Ahmad H.. Randomized clinical trial comparing two different techniques of local anesthesia (subcutaneous versus subcutaneous and deep infiltration) for postoperative pain in patients undergoing open appendecectomy. Journal of the Egyptian Society of Parasitology. 2015. Vol. 45, no. 1, pp.177-182.
https://search.emarefa.net/detail/BIM-563675
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 181-182
Record ID
BIM-563675