(UL)
-
Effectiveness of wound infusion of 0.2% ropivacaine by patient control analgesia pump after minithoracotomy aortic valve replacement [Elektronski vir] : a randomized, double-blind, placebo-controlled trialMijovski, Gordan ...Background Local anesthetic wound infusion has become an invaluable technique in multimodal analgesia. The effectiveness of wound infusion of 0.2% ropivacaine delivered by patient controlled ... analgesia (PCA) pump has not been evaluated in minimally invasive cardiac surgery. We tested the hypothesis that 0.2% ropivacaine wound infusion by PCA pump reduces the cumulative dose of opioid needed in the first 48%h after minithoracothomy aortic valve replacement (AVR). Methods In this prospective, randomized, double-blind, placebo-controlled study, 70 adult patients (31 female and 39 male) were analyzed. Patients were randomized to receive 0.2% ropivacaine or 0.9% saline wound infusion by PCA pump for 48%h postoperatively. PCA pump was programmed at 5%ml%h%%1 continuously and 5%ml of bolus with 60%min lockout. Pain levels were assessed and recorded hourly by Numeric Rating Scale (NRS). If NRS score was higher than three the patient was administered 3%mg of opioid piritramide repeated and titrated as needed until pain relief was achieved. The primary outcome was the cumulative dose of the opioid piritramide in the first 48%h after surgery. Secondary outcomes were frequency of NRS scores higher than three, patient%s satisfaction with pain relief, hospital length of stay, side effects related to the local anesthetic and complications related to the wound catheter. Results The cumulative dose of the opioid piritramide in the first 48%h after minithoracotomy AVR was significantly lower (p%<%0.001) in the ropivacaine (R) group median 3%mg (IQR 6%mg) vs. 9%mg (IQR 9%mg). The number of episodes of pain where NRS score was greater than three median 2 (IQR 2), vs 3 (IQR 3), (p%=%0.002) in the first 48%h after surgery were significantly lower in the ropivacaine group, compared to control. Patient satisfaction with pain relief in our study was high. There were no wound infections and no side-effects from the local anesthetic. Conclusions Wound infusion of local anesthetic by PCA pump significantly reduced opioid dose needed and improves pain control postoperatively. We have also shown that it is a feasible method of analgesia and it should be considered in the multimodal pain control strategy following minimally invasive cardiac surgery.Source: BMC anesthesiology [Elektronski vir]. - ISSN 1471-2253 (Vol. 20, 2020, str. 1-9)Type of material - e-articlePublish date - 2020Language - englishCOBISS.SI-ID - 29659907
Author
Mijovski, Gordan |
Podbregar, Matej |
Kšela, Juš |
Jenko, Matej, dr. med, 1986- |
Šoštarič, Maja, 1964-
Topics
wound catheter |
PCA |
AVR |
minithoracotomy |
multimodal analgesia
Shelf entry
Permalink
- URL:
Impact factor
Access to the JCR database is permitted only to users from Slovenia. Your current IP address is not on the list of IP addresses with access permission, and authentication with the relevant AAI accout is required.
Year | Impact factor | Edition | Category | Classification | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Select the library membership card:
If the library membership card is not in the list,
add a new one.
DRS, in which the journal is indexed
Database name | Field | Year |
---|
Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
---|---|
Mijovski, Gordan | 28846 |
Podbregar, Matej | 21806 |
Kšela, Juš | 29766 |
Jenko, Matej, dr. med, 1986- | 59154 |
Šoštarič, Maja, 1964- | 23764 |
Source: Personal bibliographies
and: SICRIS
Select pickup location:
Material pickup by post
Delivery address:
Address is missing from the member's data.
The address retrieval service is currently unavailable, please try again.
By clicking the "OK" button, you will confirm the pickup location selected above and complete the reservation process.
By clicking the "OK" button, you will confirm the above pickup location and delivery address, and complete the reservation process.
By clicking the "OK" button, you will confirm the address selected above and complete the reservation process.
Notification
Automatic login and reservation service currently not available. You can reserve the material on the Biblos portal or try again here later.
Subject headings in COBISS General List of Subject Headings
Select pickup location
The material from the parent unit is free. If the material is delivered to the pickup location from another unit, the library may charge you for this service.
Pickup location | Material status | Reservation |
---|
Reservation in progress
Please wait a moment.
Reservation was successful.
Reservation failed.
Reservation...
Membership card:
Pickup location: