Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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THE MANAGEMENT OF MULTIMODAL ANALGESY IN THE TREATMENT OF ACUTE PAIN AFTER LAPAROSCOPIC CHOLECYSTECTOMY
E. Tincu (1), A. Cotârleţ (2), Ioana Grigoraş (3)
(1) Intensive Care Unit, (2) Department of Surgery, Emergency Hospital Moineşti
(3) Intensive Care Unit, „St. Spiridon” Hospital,
University of Medicine and Pharmacy „Gr.T. Popa” Iaşi
Jurnalul de chirurgie 2008; 4 (2):94-104
Full text:
Format PDF (Română/Romanian)

Abstract:

Goal: Efficacy of  pre-, intra- and postoperative multimodal analgesia in the management of postoperative pain after elective laparoscopic colecistectomy compared to classical postoperative pain management. Material and method: The study included 96 patients scheduled for elective laparoscopic colecistectomy under balanced general anesthesia. The patients were randomly divided into two groups: the study group (48 patients) received pre- and intraoperative multimodal analgesia, which included a COX-2 inhibitor (parecoxib) iv before induction of anesthesia, levobupivacaine infiltration before skin incision and intraperitoneal administration of a mixture of levobupivacaine and petidine at the beginning and at the end of the procedure. The control group (48 patients) had general anesthesia without any pre- or intraoperative nonopioid analgesic. The postoperative pain management was the same in both groups - opioid or nonopioid drugs according to pain score. Recorded data: cardio-vascular and respiratory parameters, pain scores (analogue visual scale) during rest and mobilization, incidence of postoperative nausea and vomiting (PONV), and postoperative consumption of analgetic and antiemetic drugs. Results: The mean pain score at rest in the study group was 2,67±1,21 compared to 4,21±1,38 in the control group. The mean pain score during mobilization was 3,53±1,49 in the study group compared to 5,23±1,72 in the control group. Incidence of  PONV was lower in the study group. Conclusion: Pre- and intraoperative multimodal management of postoperative pain resulted in lower VAS pain scores at rest and during mobilization compared to classical postoperative pain treatment.

KEY WORDS: MULTIMODAL ANALGESIA, LAPAROSCOPIC CHOLECYSTECTOMY, VISUAL ANALOG SCALE

Correspondence
to: Eugen Tincu, MD; Emergency Hospital Moineşti, Str. Zorilor No. 1, Moineşti, jud. Bacău, Romania; e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.