A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain
Cholecyctectomy is one of the most painful operations that due to adjacent of incision site with chest cage reducing the pulmonary function and accompanied with its complication. Effective analgesia after operation reduces these alternation ,complications and improve patient’s outcome. The aim of th...
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| Format: | Article |
| Language: | fas |
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Hamadan University of Medical Sciences
2005-03-01
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| Series: | پزشکی بالینی ابن سینا |
| Subjects: | |
| Online Access: | http://sjh.umsha.ac.ir/article-1-584-en.html |
| _version_ | 1818261255826178048 |
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| author | Saeed Mahmoudi Karim Naseri Saeed Bashirian Behzad Ashrafi |
| author_facet | Saeed Mahmoudi Karim Naseri Saeed Bashirian Behzad Ashrafi |
| author_sort | Saeed Mahmoudi |
| collection | DOAJ |
| description | Cholecyctectomy is one of the most painful operations that due to adjacent of incision site with chest cage reducing the pulmonary function and accompanied with its complication. Effective analgesia after operation reduces these alternation ,complications and improve patient’s outcome. The aim of this study was the comparison of the survey of effectiveness of interpleural bupivacaine and intramuscular opioid (methadone) in post
cholecyctectomy analgesia.
This randomized clinical trial study was carried out in surgery wards of Ekbatan and Mobasher Kashani hospitals in Hamadan. 20 ASA I and II patients who were candidate for operation were selected into two groups, for IPB group 20cc of 0.25% bupivacaine was injected into interpleural space and for
IMM group 70mg/kg methadone was injected intramuscular. The above drugs were repeated every 8hr with the same dosage for 48hr. 6 hours after the operation ABGwas repeated and severity of pain with VAS route was measured.
There was no statistical significant difference in sex and age between two assessed groups. Postoperative pulmonary function parameters such as vital capacity reduced in 2 groups and had lower change in IPB group and this difference was statistically significant (P=0.03). VAS in IPB group in 6, 24 and 48 hr post operatively was so lower than IMM group that had statistically difference
(P=0.006). Patient satisfaction from analgesia was higher in IPB group in compare to IMM group. This difference was also statistically significant (P=0.004).
The results of this study showed that using interpleural analgesia in
compare with intramuscular methadone for open cholecyctectomy pain were more satisfied and pulmonary function were protected better too. |
| first_indexed | 2024-12-12T18:44:20Z |
| format | Article |
| id | doaj.art-a11590a61a094b5cb0163e177153c0d8 |
| institution | Directory Open Access Journal |
| issn | 2588-722X 2588-7238 |
| language | fas |
| last_indexed | 2024-12-12T18:44:20Z |
| publishDate | 2005-03-01 |
| publisher | Hamadan University of Medical Sciences |
| record_format | Article |
| series | پزشکی بالینی ابن سینا |
| spelling | doaj.art-a11590a61a094b5cb0163e177153c0d82022-12-22T00:15:34ZfasHamadan University of Medical Sciencesپزشکی بالینی ابن سینا2588-722X2588-72382005-03-011142327A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy PainSaeed Mahmoudi0Karim Naseri1Saeed Bashirian2Behzad Ashrafi3 Cholecyctectomy is one of the most painful operations that due to adjacent of incision site with chest cage reducing the pulmonary function and accompanied with its complication. Effective analgesia after operation reduces these alternation ,complications and improve patient’s outcome. The aim of this study was the comparison of the survey of effectiveness of interpleural bupivacaine and intramuscular opioid (methadone) in post cholecyctectomy analgesia. This randomized clinical trial study was carried out in surgery wards of Ekbatan and Mobasher Kashani hospitals in Hamadan. 20 ASA I and II patients who were candidate for operation were selected into two groups, for IPB group 20cc of 0.25% bupivacaine was injected into interpleural space and for IMM group 70mg/kg methadone was injected intramuscular. The above drugs were repeated every 8hr with the same dosage for 48hr. 6 hours after the operation ABGwas repeated and severity of pain with VAS route was measured. There was no statistical significant difference in sex and age between two assessed groups. Postoperative pulmonary function parameters such as vital capacity reduced in 2 groups and had lower change in IPB group and this difference was statistically significant (P=0.03). VAS in IPB group in 6, 24 and 48 hr post operatively was so lower than IMM group that had statistically difference (P=0.006). Patient satisfaction from analgesia was higher in IPB group in compare to IMM group. This difference was also statistically significant (P=0.004). The results of this study showed that using interpleural analgesia in compare with intramuscular methadone for open cholecyctectomy pain were more satisfied and pulmonary function were protected better too.http://sjh.umsha.ac.ir/article-1-584-en.htmlanalgesiabupivacainecholecystectomymethadone |
| spellingShingle | Saeed Mahmoudi Karim Naseri Saeed Bashirian Behzad Ashrafi A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain پزشکی بالینی ابن سینا analgesia bupivacaine cholecystectomy methadone |
| title | A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain |
| title_full | A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain |
| title_fullStr | A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain |
| title_full_unstemmed | A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain |
| title_short | A Comparative Survey of Interpleural Bupivacaine and Intramuscular Methadone Effects on Postoprative Cholecystectomy Pain |
| title_sort | comparative survey of interpleural bupivacaine and intramuscular methadone effects on postoprative cholecystectomy pain |
| topic | analgesia bupivacaine cholecystectomy methadone |
| url | http://sjh.umsha.ac.ir/article-1-584-en.html |
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