Postoperative analgesic effect of bupivacaine infiltration following lumbar disc surgery

Tamer TUNÇKALE; Numan KARAARSLAN; Melek TUNÇKALE; Tezcan ÇALIŞKAN

doi:https://doi.org/10.18621/eurj.413635

Makale detayları

Postoperative analgesic effect of bupivacaine infiltration following lumbar disc surgery

Yazarlar:

Tamer TUNÇKALE | Numan KARAARSLAN | Melek TUNÇKALE | Tezcan ÇALIŞKAN

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

The European Research Journal 2019 Vol.5 Issue 5, pp.787-792

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000662563

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.413635

Özet:

 


Objectives:
Effectiveness of 0.5% bupivacaine administered onto
dura, under lumbar superficial fascia and subcutaneous tissue on postoperative
pain control was analyzed in patients undergoing lumbar microdiscectomy. 


Methods: Sixty
adult patients scheduled to undergo elective, single-level lumbar discectomy
were randomly divided into four groups: the control group (Control), the subcutaneous tissue group
(Group C), which received 20 ml of 0.5% bupivacaine in the subcutaenous tissue,
the superficial fascia group (Group F), which received 12 ml bupivacaine in the
subcutaneous tissue and 8 ml in the space below the lumbar superficial fascia,
and the dura group (Group D), which received a total of 20 ml (100 mg) of
bupivacaine, consisting of 10 ml in the subcutaneous tissue, 8 ml in the space below
the lumbar superficial fascia, and 2 ml on the dura. Visual
Analog Scale Values (VAS) on postoperative 0, 15, 30, 45 minutes, at 1, 2, 4, 6,
12 and 24th hour and time of the first analgesic need were evaluated
for all patients and recorded. 


Results: While
mean VAS value measured at min 0 (as soon as the patient awakened) was 2.3 ± 1.2
in Group D; it was 2.7 ± 0.9 in Group C; 2.7 ± 1.0 in Group F and 3.1 ± 0.6 in
control group (p = 0.232). At the
end of 1th hour, mean VAS value was recorded as 2.8 ± 1.0 in Group D; 3.6 ± 1.5 in Group C; 3.6 ± 1.1 in Group F and 4.4 ± 1.1 in control group (p = 0.005). In Group D, 0.5% bupivacaine
administered as 2, 8, 10 ml onto dura, fascia and subcutaneously was detected
to provide significantly lower VAS values and significantly longer first
analgesic need time. 









Conclusions: 0.5% bupivacaine administered onto
dura, under lumbar superficial fascia and in subcutaneous tissue was detected
to be a simple, effective and safe method in lumbar microdiscectomy operations. 


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Makale detayları

Postoperative analgesic effect of bupivacaine infiltration following lumbar disc surgery

Yazarlar: Tamer TUNÇKALE | Numan KARAARSLAN | Melek TUNÇKALE | Tezcan ÇALIŞKAN

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi: The European Research Journal 2019 Vol.5 Issue 5, pp.787-792

Belge Tipi: Makale

Yayın Tarihi: 9/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000662563

Sıklık: İki Aylık

eISSN: 2149-3189

DOI: https://doi.org/10.18621/eurj.413635

Sayı

Yazarlar:

Tamer TUNÇKALE | Numan KARAARSLAN | Melek TUNÇKALE | Tezcan ÇALIŞKAN

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

The European Research Journal 2019 Vol.5 Issue 5, pp.787-792

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000662563

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.413635