Presternal local analgesia for postoperative pain relief after open heart surgery : a randomized, controlled study
Joint Authors
Mustafa, Safiyah A. Hamed
Kamil, Imad Z.
Sadiq, Muhammad I.
Shahin, Ahmad S.
Ahmad, Muhammad M.
Source
Journal of Current Medical Research and Practice
Issue
Vol. 3, Issue 2 (31 Aug. 2018), pp.115-119, 5 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2018-08-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Infiltration of local anesthetics near the surgical wound has shown to improve early postoperative pain in various surgical procedures, especially after open heart surgery.
Inadequate pain control reduces the capacity to cough, mobility, increases the frequency of atelectasis, and prolongs recovery.
Patients and methods This study is designed to examine the efficacy of postoperative 1 g paracetamol/6 h, ketorolac tromethamine 30 mg / 8–12 h as conventional analgesia versus bupivacaine plus magnesium sulfate through a single presternal catheter for postoperative pain relief after cardiac surgery.
Forty patients were scheduled for valve replacement cardiac surgeries and were randomly assigned into two groups (20 patients in each group).
Group M: each patient has received bupivacaine 0.125 % with 5 % magnesium sulfate through the presternal soft catheter at a fixed rate of 5 ml/h.
Group B: each patient only has received postoperative 1 g paracetamol/6 h, ketorolac tromethamine 30 mg / 8 h.
For postoperative breakthrough pain, rescue analgesia in the form of 25 g fentanyl was used, with recording of total required doses in both groups.
Results The mean numeric pain scale was significantly lower in group M than in group B at most time points.
The overall fentanyl requirements over the first 48 h were significantly lower in group M than in group B (33 ± 11.7 vs.
150 ± 1.6 g, respectively).
There was no statistically significant difference between the two groups regarding ICU stay and blood glucose level.
Conclusion Local presternal bupivacaine with magnesium sulfate provided adequate postoperative analgesia and less opioid requirements.
American Psychological Association (APA)
Mustafa, Safiyah A. Hamed& Kamil, Imad Z.& Sadiq, Muhammad I.& Shahin, Ahmad S.& Ahmad, Muhammad M.. 2018. Presternal local analgesia for postoperative pain relief after open heart surgery : a randomized, controlled study. Journal of Current Medical Research and Practice،Vol. 3, no. 2, pp.115-119.
https://search.emarefa.net/detail/BIM-853579
Modern Language Association (MLA)
Mustafa, Safiyah A. Hamed…[et al.]. Presternal local analgesia for postoperative pain relief after open heart surgery : a randomized, controlled study. Journal of Current Medical Research and Practice Vol. 3, no. 2 (May. / Aug. 2018), pp.115-119.
https://search.emarefa.net/detail/BIM-853579
American Medical Association (AMA)
Mustafa, Safiyah A. Hamed& Kamil, Imad Z.& Sadiq, Muhammad I.& Shahin, Ahmad S.& Ahmad, Muhammad M.. Presternal local analgesia for postoperative pain relief after open heart surgery : a randomized, controlled study. Journal of Current Medical Research and Practice. 2018. Vol. 3, no. 2, pp.115-119.
https://search.emarefa.net/detail/BIM-853579
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 119
Record ID
BIM-853579