Iniltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia
Objective: Determining the effectiveness of iniltration 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 patien...
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| Format: | Article |
| Language: | English |
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UANL. Facultad de Medicina
2014
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| Online Access: | http://eprints.uanl.mx/11362/1/X1665579614283664_S300_en.pdf |
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| author | Yolanda Prieto, Blanca Irma Millán Corrales, Alba Lorena Palacios Ríos, Dionicio Garduño Chávez, Belia Inés López Cabrera, Norma Guadalupe Millán Cornejo, Gustavo Adolfo González Rocha, B. T. |
| author_facet | Yolanda Prieto, Blanca Irma Millán Corrales, Alba Lorena Palacios Ríos, Dionicio Garduño Chávez, Belia Inés López Cabrera, Norma Guadalupe Millán Cornejo, Gustavo Adolfo González Rocha, B. T. |
| author_sort | Yolanda Prieto, Blanca Irma |
| collection | Repositorio Institucional |
| description | Objective: Determining the effectiveness of iniltration 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. P ain intensity was assessed by a visual analog scale (V AS) 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 iniltration required rescue medications), but the iniltration group had a lower perception of pain. Conclusions: This study reported the same eficacy of preventive treatment of postoperative pain in patients who underwent radical mastectomy for instillation and iniltration with 7.5%
ropivacaine and little need for rescue medication postoperatively. |
| format | Article |
| id | eprints-11362 |
| institution | UANL |
| language | English |
| publishDate | 2014 |
| publisher | UANL. Facultad de Medicina |
| record_format | eprints |
| spelling | eprints-113622016-10-04T21:01:49Z http://eprints.uanl.mx/11362/ Iniltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia Yolanda Prieto, Blanca Irma Millán Corrales, Alba Lorena Palacios Ríos, Dionicio Garduño Chávez, Belia Inés López Cabrera, Norma Guadalupe Millán Cornejo, Gustavo Adolfo González Rocha, B. T. RD Cirugía Objective: Determining the effectiveness of iniltration 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. P ain intensity was assessed by a visual analog scale (V AS) 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 iniltration required rescue medications), but the iniltration group had a lower perception of pain. Conclusions: This study reported the same eficacy of preventive treatment of postoperative pain in patients who underwent radical mastectomy for instillation and iniltration with 7.5% ropivacaine and little need for rescue medication postoperatively. UANL. Facultad de Medicina 2014 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11362/1/X1665579614283664_S300_en.pdf http://eprints.uanl.mx/11362/1.haspreviewThumbnailVersion/X1665579614283664_S300_en.pdf Yolanda Prieto, Blanca Irma y Millán Corrales, Alba Lorena y Palacios Ríos, Dionicio y Garduño Chávez, Belia Inés y López Cabrera, Norma Guadalupe y Millán Cornejo, Gustavo Adolfo y González Rocha, B. T. (2014) Iniltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia. Medicina universitaria, 16 (62). pp. 15-18. ISSN 1665-5796 |
| spellingShingle | RD Cirugía Yolanda Prieto, Blanca Irma Millán Corrales, Alba Lorena Palacios Ríos, Dionicio Garduño Chávez, Belia Inés López Cabrera, Norma Guadalupe Millán Cornejo, Gustavo Adolfo González Rocha, B. T. Iniltration vs. instillation of ropivacaine 7.5% in radical mastectomies for postoperative analgesia |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Iniltration vs. instillation of ropivacaine 7.5% in radical
mastectomies for postoperative analgesia |
| title_full | Iniltration vs. instillation of ropivacaine 7.5% in radical
mastectomies for postoperative analgesia |
| title_fullStr | Iniltration vs. instillation of ropivacaine 7.5% in radical
mastectomies for postoperative analgesia |
| title_full_unstemmed | Iniltration vs. instillation of ropivacaine 7.5% in radical
mastectomies for postoperative analgesia |
| title_short | Iniltration vs. instillation of ropivacaine 7.5% in radical
mastectomies for postoperative analgesia |
| title_sort | iniltration vs instillation of ropivacaine 7 5 in radical mastectomies for postoperative analgesia |
| topic | RD Cirugía |
| url | http://eprints.uanl.mx/11362/1/X1665579614283664_S300_en.pdf |
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