Infiltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia.

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Title: Infiltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia.
Authors: Yolanda-Prieto, B. I.1 blancaprieto2002@yahoo.com.mx, Millán-Corrales, A. L.1 albamillan@hotmail.com, Palacios-Ríos, D.1, Garduño-Chávez, B. I.1, López-Cabrera, N. G.1, Millán-Cornejo, G. A.1, González-Rocha, B. T.1
Source: Medicina Universitaria. ene-mar2014, Vol. 16 Issue 62, p15-18. 4p.
Subjects: ANALGESICS, MASTECTOMY, ANALGESIA, POSTOPERATIVE period, POSTOPERATIVE pain treatment, PAIN management
Abstract: Objective: Determining the effectiveness of infiltration versus instillation with 7.5% ropivacaine in reducing the intensity of postoperative pain in patients undergoing a radical mastectomy. Material and methods: Clinical, prospective, and comparative analytical study in a sample of 20 female patients between 20 and 60 years of age, ASA I and II, weight 50-90 kg, who were divided into 2 groups (10 patients each). In Group 1 infiltration with ropivacaine 7.5% (20 ml) was applied prior to closure of the surgical wound, meanwhile in Group 2 ropivacaine 7.5% (20 ml), was instilled into the surgical wound. Pain intensity was assessed by a visual analog scale (VAS) upon extubation. The need for rescue medication and the incidence of nausea and vomiting were measured from 0 to 30 minutes postoperatively and at 2, 4, 8 and 12 hours. Results: There was no statistical difference between the groups (only the group managed through infiltration required rescue medications), but the infiltration group had a lower perception of pain. Conclusions: This study reported the same efficacy of preventive treatment of postoperative pain in patients who underwent radical mastectomy for instillation and infiltration with 7.5% ropivacaine and little need for rescue medication postoperatively. [ABSTRACT FROM AUTHOR]
Copyright of Medicina Universitaria is the property of Medicina Universitaria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Infiltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia.
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  Data: <searchLink fieldCode="AR" term="%22Yolanda-Prieto%2C+B%2E+I%2E%22">Yolanda-Prieto, B. I.</searchLink><relatesTo>1</relatesTo><i> blancaprieto2002@yahoo.com.mx</i><br /><searchLink fieldCode="AR" term="%22Millán-Corrales%2C+A%2E+L%2E%22">Millán-Corrales, A. L.</searchLink><relatesTo>1</relatesTo><i> albamillan@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Palacios-Ríos%2C+D%2E%22">Palacios-Ríos, D.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Garduño-Chávez%2C+B%2E+I%2E%22">Garduño-Chávez, B. I.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22López-Cabrera%2C+N%2E+G%2E%22">López-Cabrera, N. G.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Millán-Cornejo%2C+G%2E+A%2E%22">Millán-Cornejo, G. A.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22González-Rocha%2C+B%2E+T%2E%22">González-Rocha, B. T.</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Medicina+Universitaria%22">Medicina Universitaria</searchLink>. ene-mar2014, Vol. 16 Issue 62, p15-18. 4p.
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  Data: <searchLink fieldCode="DE" term="%22ANALGESICS%22">ANALGESICS</searchLink><br /><searchLink fieldCode="DE" term="%22MASTECTOMY%22">MASTECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22ANALGESIA%22">ANALGESIA</searchLink><br /><searchLink fieldCode="DE" term="%22POSTOPERATIVE+period%22">POSTOPERATIVE period</searchLink><br /><searchLink fieldCode="DE" term="%22POSTOPERATIVE+pain+treatment%22">POSTOPERATIVE pain treatment</searchLink><br /><searchLink fieldCode="DE" term="%22PAIN+management%22">PAIN management</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: Determining the effectiveness of infiltration versus instillation with 7.5% ropivacaine in reducing the intensity of postoperative pain in patients undergoing a radical mastectomy. Material and methods: Clinical, prospective, and comparative analytical study in a sample of 20 female patients between 20 and 60 years of age, ASA I and II, weight 50-90 kg, who were divided into 2 groups (10 patients each). In Group 1 infiltration with ropivacaine 7.5% (20 ml) was applied prior to closure of the surgical wound, meanwhile in Group 2 ropivacaine 7.5% (20 ml), was instilled into the surgical wound. Pain intensity was assessed by a visual analog scale (VAS) upon extubation. The need for rescue medication and the incidence of nausea and vomiting were measured from 0 to 30 minutes postoperatively and at 2, 4, 8 and 12 hours. Results: There was no statistical difference between the groups (only the group managed through infiltration required rescue medications), but the infiltration group had a lower perception of pain. Conclusions: This study reported the same efficacy of preventive treatment of postoperative pain in patients who underwent radical mastectomy for instillation and infiltration with 7.5% ropivacaine and little need for rescue medication postoperatively. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medicina Universitaria is the property of Medicina Universitaria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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      – SubjectFull: ANALGESICS
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      – SubjectFull: MASTECTOMY
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      – SubjectFull: ANALGESIA
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      – SubjectFull: POSTOPERATIVE period
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      – SubjectFull: POSTOPERATIVE pain treatment
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      – SubjectFull: PAIN management
        Type: general
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      – TitleFull: Infiltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia.
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              Text: ene-mar2014
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