Pain after laparoscopic cholecystectomy: the effect and timing of incisional and intraperitoneal bupivacaine
DC Field | Value | Language |
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dc.contributor.author | Lee, IO | - |
dc.contributor.author | Kim, SH | - |
dc.contributor.author | Kong, MH | - |
dc.contributor.author | Lee, MK | - |
dc.contributor.author | Kim, NS | - |
dc.contributor.author | Choi, YS | - |
dc.contributor.author | Lim, SH | - |
dc.date.accessioned | 2021-09-09T12:33:43Z | - |
dc.date.available | 2021-09-09T12:33:43Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2001-06 | - |
dc.identifier.issn | 0832-610X | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/124395 | - |
dc.description.abstract | Purpose: To examine the combined preemptive effects of somatovisceral blockade during laparoscopic cholecystectomy (LC). Methods: One hundred fifty-seven patients under general anes thesia receiving local infiltration and/or topical peritoneal local anesthesia were studied. Patients were randomized to receive a total of 150 mg (0.25% 60 mL) bupivacaine via periportal (20 mL) and intraperitoneal (40 mL with 1:200,000 epinephrine) administration of each. Group A received preoperative periportal bupivacaine before incision and intraperitoneal bupivacaine immediately after the pneumoperitoneum. Group B received periportal and intraperitoneal bupivacaine at the end of the operation. Group C (preoperative) and Group D (postoperative) received only periportal bupivacaine and Group E (preoperative) and Group F (postoperative) received only intraperitoneal bupivacaine. The control group received no treatment. Pain and nausea were recorded at one, two, three, six, nine, 12, 24, 36, and 48 hr postoperatively. Results: Throughout the postoperative 48 hr, incisional somatic pain dominated over other pain localizations in the control group (P <0.05). The incisional pain of groups A, B, C and D was significantly lower than that of the control group in the first and second hours. The incisional pain of groups A and C was significantly lower than that of the control group in the first three hours. Conclusion: Incisional pain dominated during the first two postoperative days after LC. Preoperative somato-visceral or somatic local anesthesia reduced incisional pain during the first three postoperative hours. A combination of somato-visceral local anesthetic treatment did not reduce intraabdominal pain, shoulder pain or nausea more than somatic treatment alone. Preoperative incisional infiltration of local anesthetics is recommended. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | CANADIAN ANESTHESIOLOGISTS SOC | - |
dc.subject | POSTOPERATIVE PAIN | - |
dc.subject | LOCAL-ANESTHESIA | - |
dc.subject | DOUBLE-BLIND | - |
dc.subject | RELIEF | - |
dc.subject | INFILTRATION | - |
dc.subject | ANALGESIA | - |
dc.subject | REDUCTION | - |
dc.subject | SALINE | - |
dc.subject | TRIAL | - |
dc.title | Pain after laparoscopic cholecystectomy: the effect and timing of incisional and intraperitoneal bupivacaine | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, IO | - |
dc.identifier.doi | 10.1007/BF03016830 | - |
dc.identifier.scopusid | 2-s2.0-0034919542 | - |
dc.identifier.wosid | 000169430700008 | - |
dc.identifier.bibliographicCitation | CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, v.48, no.6, pp.545 - 550 | - |
dc.relation.isPartOf | CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | - |
dc.citation.title | CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE | - |
dc.citation.volume | 48 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 545 | - |
dc.citation.endPage | 550 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Anesthesiology | - |
dc.relation.journalWebOfScienceCategory | Anesthesiology | - |
dc.subject.keywordPlus | POSTOPERATIVE PAIN | - |
dc.subject.keywordPlus | LOCAL-ANESTHESIA | - |
dc.subject.keywordPlus | DOUBLE-BLIND | - |
dc.subject.keywordPlus | RELIEF | - |
dc.subject.keywordPlus | INFILTRATION | - |
dc.subject.keywordPlus | ANALGESIA | - |
dc.subject.keywordPlus | REDUCTION | - |
dc.subject.keywordPlus | SALINE | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | 마취 | - |
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