Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery
<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> decompressive surgery is relatively common in shoulder pain syndrome. Postsurgical pain hampers the early rehabilitation of these patients and their reincorpora...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2012-09-01
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| Series: | Revista Cubana de Anestesiología y Reanimación |
| Subjects: | |
| Online Access: | http://revanestesia.sld.cu/index.php/anestRean/article/view/477 |
| _version_ | 1819107998338908160 |
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| author | Ana Teresa Echevarría Hernández Fabio Toledo Castaño Tamara Rodríguez Bonet Ernesto González Martínez Adonis Crespo Galán |
| author_facet | Ana Teresa Echevarría Hernández Fabio Toledo Castaño Tamara Rodríguez Bonet Ernesto González Martínez Adonis Crespo Galán |
| author_sort | Ana Teresa Echevarría Hernández |
| collection | DOAJ |
| description | <span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> decompressive surgery is relatively common in shoulder pain syndrome. Postsurgical pain hampers the early rehabilitation of these patients and their reincorporation to work and social life. <br /> <strong>Objective: </strong>evaluate and demonstrate the efficacy of the use of the bupivacaine-morphine combination <em>vs</em>. bupivacaine alone, administered through an intra-articular catheter, for postoperative analgesia and rehabilitation in shoulder surgery. <br /> <strong>Methods:</strong> an analytical prospective longitudinal study was conducted with 80 patients of both sexes aged 40-65 cared for at "Dr. Luis Diaz Soto" Central Military Hospital in Havana, which extended from October 2009 to May 2010. The patients were randomly distributed into 2 groups, each with 40 members. In Group I, 2 mg of lyophilized morphine were added to the local anesthetic every 24 hours. In Group II, only 0.25 % bupivacaine (20 mL) was added every 6 hours. Postoperative analgesia was evaluated with the Analog Visual Scale (AVS). Results were compared by means of a chi-square test with a 95 % confidence degree. <br /> <strong>Results:</strong> on average, prolongation of combined postoperative analgesia in Group I was 13.5 hours <em>vs.</em> 4.55 hours in Group II, where only bupivacaine was used during the first 24 hours. A better evolution of pain was also observed in Group I during the next 24 to 48 hours. <br /> <strong>Conclusions:</strong> administration of the anesthetic mixture combined with the analgesic through an intra-articular catheter to relieve postoperative pain in shoulder surgery is more effective, with mild, easily manageable side effects, thus enabling early rehabilitation.</span> |
| first_indexed | 2024-12-22T03:02:56Z |
| format | Article |
| id | doaj.art-20333bd5508b4146855f31cba76bb711 |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-22T03:02:56Z |
| publishDate | 2012-09-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-20333bd5508b4146855f31cba76bb7112022-12-21T18:41:08ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182012-09-01113471Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgeryAna Teresa Echevarría Hernández0Fabio Toledo Castaño1Tamara Rodríguez Bonet2Ernesto González Martínez3Adonis Crespo Galán4Hospital Militar Central "Dr. Luis Díaz Soto". La HabanaHospital Militar Central "Dr. Luis Díaz Soto". La HabanaHospital Militar Central "Dr. Luis Díaz Soto". La HabanaHospital Militar Central "Dr. Luis Díaz Soto". La HabanaHospital Militar Central "Dr. Luis Díaz Soto". La Habana<span style="font-family: Verdana,Arial,Helvetica,sans-serif; font-size: small;"><strong>Introduction:</strong> decompressive surgery is relatively common in shoulder pain syndrome. Postsurgical pain hampers the early rehabilitation of these patients and their reincorporation to work and social life. <br /> <strong>Objective: </strong>evaluate and demonstrate the efficacy of the use of the bupivacaine-morphine combination <em>vs</em>. bupivacaine alone, administered through an intra-articular catheter, for postoperative analgesia and rehabilitation in shoulder surgery. <br /> <strong>Methods:</strong> an analytical prospective longitudinal study was conducted with 80 patients of both sexes aged 40-65 cared for at "Dr. Luis Diaz Soto" Central Military Hospital in Havana, which extended from October 2009 to May 2010. The patients were randomly distributed into 2 groups, each with 40 members. In Group I, 2 mg of lyophilized morphine were added to the local anesthetic every 24 hours. In Group II, only 0.25 % bupivacaine (20 mL) was added every 6 hours. Postoperative analgesia was evaluated with the Analog Visual Scale (AVS). Results were compared by means of a chi-square test with a 95 % confidence degree. <br /> <strong>Results:</strong> on average, prolongation of combined postoperative analgesia in Group I was 13.5 hours <em>vs.</em> 4.55 hours in Group II, where only bupivacaine was used during the first 24 hours. A better evolution of pain was also observed in Group I during the next 24 to 48 hours. <br /> <strong>Conclusions:</strong> administration of the anesthetic mixture combined with the analgesic through an intra-articular catheter to relieve postoperative pain in shoulder surgery is more effective, with mild, easily manageable side effects, thus enabling early rehabilitation.</span>http://revanestesia.sld.cu/index.php/anestRean/article/view/477dolor posoperatorio, bupivacaína y morfina, opioides periféricos, cirugía de hombro, analgesia combinada. |
| spellingShingle | Ana Teresa Echevarría Hernández Fabio Toledo Castaño Tamara Rodríguez Bonet Ernesto González Martínez Adonis Crespo Galán Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery Revista Cubana de Anestesiología y Reanimación dolor posoperatorio, bupivacaína y morfina, opioides periféricos, cirugía de hombro, analgesia combinada. |
| title | Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery |
| title_full | Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery |
| title_fullStr | Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery |
| title_full_unstemmed | Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery |
| title_short | Postoperative analgesia with bupivacaine and morphine through an intra-articular catheter in shoulder surgery |
| title_sort | postoperative analgesia with bupivacaine and morphine through an intra articular catheter in shoulder surgery |
| topic | dolor posoperatorio, bupivacaína y morfina, opioides periféricos, cirugía de hombro, analgesia combinada. |
| url | http://revanestesia.sld.cu/index.php/anestRean/article/view/477 |
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