Naslov
Intraperitoneal bupivacaine for analgesia after laparoscopic cholecystectomy

Autori
Boris, Mraović ; Jurišić, Tonka ; Kogler-Majerić, Višnja ; Šustić, A

Izvornik
Acta Anaesthesiologica Scandinavica (0001-5172) 41 (1997), 2; 193-196

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, ostalo

Ključne riječi
Bupivacaine; Analgesia; Laparoscopic cholecystectomy

Sažetak
Background: The effects of intraperitoneal administration of bupivacaine on pain after laparoscopic cholecystectomy were studied in a prospective, double-blind, randomised trial. Methods: Eighty ASA 1 and 2 patients were randomly assigned to one of two groups. Immediately after pneumoperitoneum was obtained patients in group 1 were given 15 ml of 0.5% bupivacaine injected under direct vision into the hepato-diaphragmatic space, near and above the hepato-duodenal ligament and above the gallbladder. At the end of operation another 15 ml of bupivacaine was injected. Patients in group 2 were given 15 ml of 0.9% saline solution in a similar fashion. Postoperative pain was assessed using a visual analogue scale (VAS 100 mm) at 0.5, 4, 8, 12 and 24 h after surgery. Analgesic consumption was also recorded. Results: Patients' data were similar in the two groups. Pain was more intense in the saline group at each time point. Significant differences between the groups were present for up to 8 h. Analgesic consumption was significantly lower in the bupivacaine group. No side-effects occurred. Conclusion: We conclude that reducing pain with intraperitoneal bupivacaine is effective, easy to administer, and without side-effects.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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