Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery
Spinal deformity corrections in paediatric patients are long-lasting procedures involving damage to many tissues and long pain exposure; therefore, effective pain management after surgical treatment is an important issue. In this study, the effect of inclusion of local infiltration analgesia, as an...
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| Format: | Article |
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MDPI AG
2021-05-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/11/2407 |
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| author | Anna Danielewicz Marek Fatyga Grzegorz Starobrat Monika Różańska-Boczula Magdalena Wójciak Ireneusz Sowa Sławomir Dresler Michał Latalski |
| author_facet | Anna Danielewicz Marek Fatyga Grzegorz Starobrat Monika Różańska-Boczula Magdalena Wójciak Ireneusz Sowa Sławomir Dresler Michał Latalski |
| author_sort | Anna Danielewicz |
| collection | DOAJ |
| description | Spinal deformity corrections in paediatric patients are long-lasting procedures involving damage to many tissues and long pain exposure; therefore, effective pain management after surgical treatment is an important issue. In this study, the effect of inclusion of local infiltration analgesia, as an integral part of the scheme in postoperative pain control, in children and adolescents, subjected to the spinal deformity correction procedure, was assessed. Thirty patients, aged 8 to 17 years, undergoing spinal deformity correction were divided into a study group, receiving a 0.25% bupivacaine solution before wound closure, and a control group (no local analgesic agent). Morphine, at the doses of 0.10 mg/kg of body weight, was administered to the patients when pain occurred. Pain scores, morphine administration, and bleeding were observed during 48 postoperative hours. The pain scores were slightly lower in a 0–4 h period in patients who received bupivacaine compared with those in the control group. However, no differences were observed in a longer period of time and in the total opioid consumption. Moreover, increasing bleeding was observed in the bupivacaine-treated patients (study group) vs. the control. Bupivacaine only modestly affects analgesia and, due to the increased bleeding observed, it should not to be part of pain control management in young patients after spinal deformity correction. |
| first_indexed | 2024-03-10T10:54:34Z |
| format | Article |
| id | doaj.art-5ab3fd83331643708f6eb221a7a50d89 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:54:34Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-5ab3fd83331643708f6eb221a7a50d892023-11-21T21:58:52ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-011011240710.3390/jcm10112407Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal SurgeryAnna Danielewicz0Marek Fatyga1Grzegorz Starobrat2Monika Różańska-Boczula3Magdalena Wójciak4Ireneusz Sowa5Sławomir Dresler6Michał Latalski7Department of Paediatric Orthopaedics, Medical University of Lublin, 20-093 Lublin, PolandChildrens’ Ortopeadic Department, Childrens’ University Hospital in Lublin, 20-093 Lublin, PolandChildrens’ Ortopeadic Department, Childrens’ University Hospital in Lublin, 20-093 Lublin, PolandDepartment of Applied Mathematics and Computer Science, University of Life Sciences in Lublin, 20-033 Lublin, PolandDepartment of Analytical Chemistry, Medical University of Lublin, 20-093 Lublin, PolandDepartment of Analytical Chemistry, Medical University of Lublin, 20-093 Lublin, PolandDepartment of Analytical Chemistry, Medical University of Lublin, 20-093 Lublin, PolandDepartment of Paediatric Orthopaedics, Medical University of Lublin, 20-093 Lublin, PolandSpinal deformity corrections in paediatric patients are long-lasting procedures involving damage to many tissues and long pain exposure; therefore, effective pain management after surgical treatment is an important issue. In this study, the effect of inclusion of local infiltration analgesia, as an integral part of the scheme in postoperative pain control, in children and adolescents, subjected to the spinal deformity correction procedure, was assessed. Thirty patients, aged 8 to 17 years, undergoing spinal deformity correction were divided into a study group, receiving a 0.25% bupivacaine solution before wound closure, and a control group (no local analgesic agent). Morphine, at the doses of 0.10 mg/kg of body weight, was administered to the patients when pain occurred. Pain scores, morphine administration, and bleeding were observed during 48 postoperative hours. The pain scores were slightly lower in a 0–4 h period in patients who received bupivacaine compared with those in the control group. However, no differences were observed in a longer period of time and in the total opioid consumption. Moreover, increasing bleeding was observed in the bupivacaine-treated patients (study group) vs. the control. Bupivacaine only modestly affects analgesia and, due to the increased bleeding observed, it should not to be part of pain control management in young patients after spinal deformity correction.https://www.mdpi.com/2077-0383/10/11/2407scoliosisbupivacainespinal deformitypain management |
| spellingShingle | Anna Danielewicz Marek Fatyga Grzegorz Starobrat Monika Różańska-Boczula Magdalena Wójciak Ireneusz Sowa Sławomir Dresler Michał Latalski Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery Journal of Clinical Medicine scoliosis bupivacaine spinal deformity pain management |
| title | Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery |
| title_full | Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery |
| title_fullStr | Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery |
| title_full_unstemmed | Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery |
| title_short | Subcutaneous Bupivacaine Infiltration Is Not Effective to Support Control of Postoperative Pain in Paediatric Patients Undergoing Spinal Surgery |
| title_sort | subcutaneous bupivacaine infiltration is not effective to support control of postoperative pain in paediatric patients undergoing spinal surgery |
| topic | scoliosis bupivacaine spinal deformity pain management |
| url | https://www.mdpi.com/2077-0383/10/11/2407 |
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