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. |
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| 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] |
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| Database: | MedicLatina |
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