2.50
Hdl Handle:
http://hdl.handle.net/2336/3205
Title:
Local analgesia in laparoscopy: a randomized trial
Authors:
Einarsson, Jon I; Sun, Judy; Orav, John; Young, Amy E
Citation:
Obstet Gynecol 2004, 104(6):1335-9
Issue Date:
2004
Abstract:
OBJECTIVE: To investigate whether local infiltration of bupivacaine reduces postoperative pain at trocar sites during gynecologic laparoscopy. METHODS: This was a randomized, placebo-controlled, double-blind clinical trial, using patients as their own controls. For each patient, 2 opposite trocar sites were infiltrated. One site was randomly chosen to receive 0.5% bupivacaine, and the other received 0.9% saline. In addition, patients were randomized into 2 cohorts to receive either preincision or postsurgical infiltration. Surgeons, patients, and interviewers were blinded toward the exposure. Postoperative pain was evaluated at 1 hour, 4 hours, and 24 hours after surgery using a 100-mm visual analog scale. Patients rated their pain at each of the infiltrated trocar sites. A 20-mm difference between pain scores was considered clinically significant. A paired t test was used for analysis. RESULTS: Infiltration of bupivacaine at completion of surgery resulted in significantly decreased pain at 1 hour postoperatively (mean pain score 25.8 versus 48.6, P = .02). Mean pain scores at 4 hours and 24 hours were decreased, but not statistically different. Patients receiving bupivacaine before surgery did not have a statistically significant decrease in pain scores. CONCLUSION: Infiltration of bupivacaine at completion of gynecologic laparoscopic surgery decreases pain at trocar sites in the immediate postoperative period.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006250-200412000-00023&LSLINK=80&D=ovft

Full metadata record

DC FieldValue Language
dc.contributor.authorEinarsson, Jon I-
dc.contributor.authorSun, Judy-
dc.contributor.authorOrav, John-
dc.contributor.authorYoung, Amy E-
dc.date.accessioned2006-06-30T14:00:42Z-
dc.date.available2006-06-30T14:00:42Z-
dc.date.issued2004-
dc.identifier.citationObstet Gynecol 2004, 104(6):1335-9en
dc.identifier.issn0029-7844-
dc.identifier.pmid15572499-
dc.identifier.doi10.1097/01.AOG.0000146283.90934.fd-
dc.identifier.urihttp://hdl.handle.net/2336/3205-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractOBJECTIVE: To investigate whether local infiltration of bupivacaine reduces postoperative pain at trocar sites during gynecologic laparoscopy. METHODS: This was a randomized, placebo-controlled, double-blind clinical trial, using patients as their own controls. For each patient, 2 opposite trocar sites were infiltrated. One site was randomly chosen to receive 0.5% bupivacaine, and the other received 0.9% saline. In addition, patients were randomized into 2 cohorts to receive either preincision or postsurgical infiltration. Surgeons, patients, and interviewers were blinded toward the exposure. Postoperative pain was evaluated at 1 hour, 4 hours, and 24 hours after surgery using a 100-mm visual analog scale. Patients rated their pain at each of the infiltrated trocar sites. A 20-mm difference between pain scores was considered clinically significant. A paired t test was used for analysis. RESULTS: Infiltration of bupivacaine at completion of surgery resulted in significantly decreased pain at 1 hour postoperatively (mean pain score 25.8 versus 48.6, P = .02). Mean pain scores at 4 hours and 24 hours were decreased, but not statistically different. Patients receiving bupivacaine before surgery did not have a statistically significant decrease in pain scores. CONCLUSION: Infiltration of bupivacaine at completion of gynecologic laparoscopic surgery decreases pain at trocar sites in the immediate postoperative period.en
dc.language.isoenen
dc.publisherLippincott Williams & Wilkinsen
dc.relation.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=N&PAGE=fulltext&AN=00006250-200412000-00023&LSLINK=80&D=ovft-
dc.subjectAdulten
dc.subjectAnesthetics, Localen
dc.subjectBupivacaineen
dc.subjectFemaleen
dc.subjectGynecologic Surgical Proceduresen
dc.subjectHumansen
dc.subjectLaparoscopyen
dc.subjectPain Measurementen
dc.subject.meshPain, Postoperativeen
dc.titleLocal analgesia in laparoscopy: a randomized trialen
dc.typeArticleen
dc.identifier.journalObstetrics and gynecologyen
dc.format.digYES-

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