Pregled bibliografske jedinice broj: 412519
Intraperitoneal analgesia for laparoscopic cholecystectomy
Intraperitoneal analgesia for laparoscopic cholecystectomy // Periodicum biologorum, 111 (2009), 1-4 (recenziran, članak, stručni)
CROSBI ID: 412519 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Intraperitoneal analgesia for laparoscopic cholecystectomy
Autori
Golubović, Snježana ; Golubović, Vesna ; Sotošek Tokmadžić, Vlatka
Izvornik
Periodicum biologorum (0031-5362) 111
(2009);
1-4
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni
Ključne riječi
Laparoscopic cholecystectomy; Intraperitoneal analgesia; Local anaesthetics; Opioids
Sažetak
Background and Purpose: Although postoperative pain after laparoscopic cholecystectomy is less than open cholecystectomy, many patients still require strong analgesia postoperatively. Intraperitoneal administration of local anaesthetics alone or in combination with opioids can effectively control postoperative pain. The purpose of this study was to assess the analgesic effect of the intraperitoneal administration of bupivacaine and/or tramadol in patients undergoing laparoscopic cholecystectomy. Patients and Methods: For this study, 144 patients undergoing laparoscopic cholecystectomy were randomized in one of four groups: Group C received 50 ml of saline, Group T received 50 ml of saline containing 100 mg tramadol, Group B received 50 ml of 0.25% bupivacaine while patients allocated to Group TB received 50 ml of 0.25% bupivacaine with 100 mg of tramadol intraperitonealy. Visual analogue scale was recorded (half?) and hours, 1, 2, 4, 6 and 24 hours postoperatively. Incidence of postoperative nausea and vomiting (PONV) was also recorded. In addition, supplementary analgesic and antiemetic consumption were assessed. Results: Pain intensity, PONV as well as postoperative supplementary medications were significantly lower in Group T, Group B and Group TB than in Group C. There were no differences between the three groups receiving tramadol and/or bupivacain in VAS score, incidence of nausea and vomiting and postoperative analgesic and antiemetic consumption. Conclusion: Intreperitoneal instillation of tramadol and/or bupivacaine is an effective method for management of postoperative pain after laparoscopic cholecystectomy. It significantly reduced supplementary postoperative analgesic and antiemetic medication.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Projekti:
062-0620096-0092 - Epiduralna analgezija i stanična imunost u bolesnika s kolorektalnim karcinomom (Golubović, Vesna, MZOS ) ( CroRIS)
Ustanove:
Klinički bolnički centar Rijeka
Citiraj ovu publikaciju:
Časopis indeksira:
- Web of Science Core Collection (WoSCC)
- Science Citation Index Expanded (SCI-EXP)
- SCI-EXP, SSCI i/ili A&HCI
- Scopus