Naslov
Quality of analgesia with multi- versus few hole catheter in patients after colorectal surgery

Autori
Marić, Stela ; Štefančić, Ljilja ; Banović, Miroslav ; Krleža Supić, Dubravka ; Popović, Ljiljana

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Postgraduate Assembly in Anesthesiology / Rosenberg, Andrew D ; Wlody, David J - New York (NY), 2010, 128-128

Skup
64th Annual Postgraduate Assembly in Anesthesiology

Mjesto i datum
Sjedinjene Američke Države, 10.12.2010. - 14.12.2010

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
postoperative analgesia; wound analgesia; type of wound catheters

Sažetak
Background and Aims: Continuous wound infusion with local anesthetics is an effective method in multimodal postoperative pain therapy after colorectal surgery. The choice of optimal type of wound catheter, few- or multi-hole is still controversial. The aim is to evaluate the analgesic potential of these two catheter types. Methods: The study was approved by the Committee for the Protection of Human Subjects in Biomedical Research. Forty patients undergoing colorectal surgery were randomized to intraoperative placement of two epidural or 15 cm-multi-hole catheter in the wound above the peritoneum and fascia, which were sewed together. Patients received 0.25% levobupivacaine (Group W) with 10 ml bolus through the wound catheter followed by an infusion of 6 ml/h during 48 h, or the same protocol with equally divided levobupivacaine doses through two epidural catheters (Group E). Simultaneously, patient-controlled analgesia provided intravenous morphine. All patients also received diclofenac 75 mg every 12 h for 48 h. Pain was evaluated postoperatively with 4-point verbal scale (VRS) for the first 3 h, and with visual analogue scale at rest (VAS r) and during coughing (VAS c) every 6 h for the first 24 h. Results: No difference in morphine consumption was observed between groups. There were no significant differences in pain intensity throughout the first three hours between groups (p= 0, 756). VAS scores were significantly lower in Group W for VAS r (p=0, 007) and VAS c (p= 0, 018) for the 6 h, 12 h, and 24 h postoperatively compared with Group E. Significant differences in VAS c and VAS r scores were in clinically acceptable range of VAS 0-2. Conclusion: We conclude that levobupivacaine infusion through multi-hole catheter provides rather equal quality of postoperative 24-h analgesia compared with few-hole epidural catheter. Further trials are required to evaluate analgesic efficacy with different type of catheters.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA