The effect of postoperative pain control of post-incisional levobupivacaine 0.5% infiltration in laparoscopic cholecystectomy Laparoskopik kolesistektomilerde post-insizyonel % 0,5 levobupiyakain infiltrasyonunun postoperatif aǧri kontrolü üzerine Etkisi
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.38, sa.3, ss.201-207, 2010 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 38 Sayı: 3
- Basım Tarihi: 2010
- Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.201-207
- Anahtar Kelimeler: Infiltration, Laparoscopic cholecystectomy, Levobupivacaine
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The aim of our study was to assess the effects of analgesia quality of post-lndsional infiltration of 0.5 % levobuplvacaine during postoperative period in laparoscopic cholecystectomy. Material and Method: Seventy-eight patients undergoing laparoscopic cholecystectomy were randomly allocated to two groups. Incisional sites were Infiltrated with the same volume (20 mL) of local anesthetic before skin closure at the end of the operation. Group L received levobupivacaine 0.5 %, and group P received 0.9 % saline solution. Postoperative pain in the resting, and ambulatory period was rated by Visual Analogue Scale (VAS, VAS-H) at 0, 2, 4, 6,12 and 24 hours Total number of patients who needed rescue analgesic, total analgesic consumption, onset of analgesia and adverse effects were recorded. Results: Three patients in P and five patients in L group were excluded from the study because of protocol violation. There were no differences between the groups as for demographic data, duration of surgery and anesthesia, and perioperative fentanyl requirements (p>0.05). Postoperative VAS and VAS-H were significantly lower in Group L when compared to Group P postoperatively at 0., 2., 4., and 6. hours (p<0.001). There is no difference between two groups at 12., and 24. hours. The analgesia time was found in Group L 9.60±5.7 hours, in Group P 0.74±1.37 hours (p<0.001). Eleven patients (31.4 %) in Group L and 29 patients (82.9 %) in Group P received rescue analgesic. Rescue analgesics were used 19, and 38 times more frequently.in Groups L and P, respectively. Total analgesic consumption was significantly lower in Group L than Group P at 2., 4., and 6. hours (p<0.05). Conclusion: It has been decided that local post-incisional levobupivacaine infiltration Is effective for decreasing postoperative pain in patients undergoing laparoscopic cholecystectomy.