Continuous wound infusion of levobupivacaine after total abdominal hysterectomy with bilateral salpingo-oophorectomyReportar como inadecuado




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Periodicum biologorum, Vol.111 No.2 June 2009. -

Background and Purpose: Blockade of nociceptive afferents by the use of continuous wound infiltration with local anesthetics may be beneficial in a postoperative multimodal pain management after total abdominal hysterectomy TAH with bilateral salpingo-oophorectomy BSO. The role of continuous wound infusion of levobupivacaine for pain relief and postoperative recovery was evaluated.

Materials and Methods: Fifty female patients ASA I-III scheduled

for TAH and BSO were divided in two equal groups during prospective, double-blinded, placebo-controlled trial. On completion of the operation, a multiorifice 20-gauge epidural catheter was placed above the superficial abdominal fascia. Patients were randomly assigned to receive through the catheter 0.25% levobupivacaine Group L with 6ml bolus followed by an infusion of 7 ml-h during 48 h, or the same protocol with 0.9% NaCl Group S. Simultaneously, patient-controlled analgesia provided intravenous morphine.

All patients also received diclofenac 75 mg every 12 h for 48 h.

Results and Conclusions: Median Visual Analogue Scale VAS was

satisfactory. Compared with suprafascial saline, levobupivacaine infusion reduced morphine consumption during the first 48 h. The morphine consumption was significantly less P



Autor: STELA MARIĆ - ; University Hospital for Tumors, Anesthesiology and Intensive Care, Zagreb, Croatia MIROSLAV BANOVIĆ - ; Univers

Fuente: http://hrcak.srce.hr/



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