Different local anesthetic technique for postoperative analgesia in open cholecystectomy
Joint Authors
Lutfi, Muhammad A.
al-Daba, Ahmad A.
Source
Ain Shams Journal of Anesthesiology
Issue
Vol. 8, Issue 2 (30 Jun. 2015), pp.252-258, 7 p.
Publisher
Ain Shams University Faculty of Medicine Department of Anesthesiology
Publication Date
2015-06-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background Paravertebral block is the technique of injecting a local anesthetic (LA) solution alongside the vertebral column close to the emergence of the spinal nerves.
Infi ltration of LAs into the surgical wound is a simple, safe, and low-cost technique for postoperative analgesia.
Patients and methods Patients with physical status ASA I–II aged 20–45 years of both sexes and scheduled for an elective open cholecystectomy with subcostal incision were included in this study.
Patients were classifi ed randomly using sealed envelopes into three equal groups of 60 patients each.
At the end of the surgical procedures, for all the patients of the study, a continuous wound catheter (CWC) and a continuous paravertebral catheter were inserted: group I (CWC), group II (continuous paravertebral catheter), and group III (control group).
Anesthesia was induced with an intravenous fentanyl injection (1.5 μg/kg), propofol (1.5 mg/kg), followed by cis-atracurium (0.15 mg/kg), and then the patient was intubated after 3 min.
Maintenance of anesthesia was by isofl urane with minimal alveolar concentration (1.5) with additional doses of cis-atracurium (0.04 mg/kg) when needed.
Results A total of 120 patients were included in the study, with 40 patients randomized to each group.
There were no signifi cant differences in demographic data.
For mean arterial blood pressure, heart rate, and respiratory rate, there were no signifi cant differences between the groups, except 30 min after extubation, when there was a signifi cant increase in group III compared with the other two groups.
For SpO2, there was no signifi cant difference between the three groups.
In terms of pain assessment using visual analogue scale, there was a signifi cant decrease at all time points in the values of group II compared with the other two groups and in group I compared with group III.
Conclusion We conclude that paravertebral block with a continuous infusion is more effective than a CWC infusion in postoperative pain management after surgeries with subcostal incisions, although both techniques showed a signifi cant improvement compared with the control group.
American Psychological Association (APA)
al-Daba, Ahmad A.& Lutfi, Muhammad A.. 2015. Different local anesthetic technique for postoperative analgesia in open cholecystectomy. Ain Shams Journal of Anesthesiology،Vol. 8, no. 2, pp.252-258.
https://search.emarefa.net/detail/BIM-650274
Modern Language Association (MLA)
al-Daba, Ahmad A.& Lutfi, Muhammad A.. Different local anesthetic technique for postoperative analgesia in open cholecystectomy. Ain Shams Journal of Anesthesiology Vol. 8, no. 2 (Apr. / Jun. 2015), pp.252-258.
https://search.emarefa.net/detail/BIM-650274
American Medical Association (AMA)
al-Daba, Ahmad A.& Lutfi, Muhammad A.. Different local anesthetic technique for postoperative analgesia in open cholecystectomy. Ain Shams Journal of Anesthesiology. 2015. Vol. 8, no. 2, pp.252-258.
https://search.emarefa.net/detail/BIM-650274
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 258
Record ID
BIM-650274