Quality of analgesia with multi- versus few hole catheter in patients after colorectal surgery (CROSBI ID 571380)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa | međunarodna recenzija
Podaci o odgovornosti
Marić, Stela ; Štefančić, Ljilja ; Banović, Miroslav ; Krleža Supić, Dubravka ; Popović, Ljiljana
engleski
Quality of analgesia with multi- versus few hole catheter in patients after colorectal surgery
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.
postoperative analgesia; wound analgesia; type of wound catheters
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Podaci o prilogu
128-128.
2010.
objavljeno
Podaci o matičnoj publikaciji
Postgraduate Assembly in Anesthesiology
Rosenberg, Andrew D ; Wlody, David J
New York (NY):
Podaci o skupu
64th Annual Postgraduate Assembly in Anesthesiology
poster
10.12.2010-14.12.2010
Sjedinjene Američke Države