Preemptive scalp infiltration with 0.5?% ropivacaine and 1?% lidocaine reduces postoperative pain after craniotomy

详细信息    查看全文

• 作者：Jie Song ; Li Li ; Pengtao Yu ; Tao Gao ; Kui Liu
• 关键词：Preemptive analgesia ; Scalp infiltration ; Ropivacaine ; Craniotomy
• 刊名：Acta Neurochirurgica
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：157
• 期：6
• 页码：993-998
• 全文大小：408 KB
• 参考文献：1.Bao GX, Liu JJ, Zu TB (1987) Intravenous procaine is a useful addition to balanced anesthesia for thoracic surgery. J Cardiothorac Anesth 1:500-01View Article PubMed
  2.Barcznski M, Konturek A, Herman RM (2006) Superiority of preemptive analgesia with intraperitoneal instillation of bupivacaine before rather than after the creation of pneumoperitoneum for laparoscopic cholecystectomy: a randomized, double-blind, placebo-controlled study. Surg Endosc 20:1088-093View Article
  3.Bashir MM, Shahzad MA, Yousaf MN (2014) Comparison of postoperative pain relief by intercostals block between pre-rib harvest and post-rib harvest groups. J Coll Physicians Surg Pak 24:43-6PubMed
  4.Batoz H, Verdonck O, Pellerin C (2009) The analgesic properties of scalp infiltration with ropivacaine after intracranial tumoral resection. Anesth Analg 109:240-44View Article PubMed
  5.Benedittis DG, Lorenzetti A, Spagnoli D (1996) Postoperative pain in neurosurgery: a pilot study in brain surgery. Neurosurgery 38:466-70PubMed
  6.Biswas BK, Bithal PK (2003) Preincision 0.25% bupivacaine scalp infiltration and postcraniotomy pain: a randomized double-blind, placebo-controlled study. J Neurosurg Anesthesiol 15:234-39View Article PubMed
  7.Bloomfield EL, Schubert A, Secic M (1998) The influence of scalp infiltration with bupivacaine on hemodynamics and postoperative pain in adult patients undergoing craniotomy. Anesth Analg 87:579-82PubMed
  8.Coughlin SM, Karanicolas PJ, Emmerton-Coughlin HM (2010) Better late than never? Impact of local analgesia timing on postoperative pain in laparoscopic surgery: a systematic review and metaanalysis. Surg Endosc 24:3167-176View Article PubMed
  9.Ersayli DT, Gurbet A, Bekar A (2006) Effects of perioperatively administered bupivacaine and bupivacaine-methylprednisolone on pain after lumbar discectomy. Spine 31:2221-226View Article PubMed
  10.Gazoni FM, Pouratian N, Nemergut EC (2008) Effect of ropivacaine skull block on perioperative outcomes in patients with supratentorial brain tumors and comparison with remifentanil: a pilot study. J Neurosurg 109:44-9View Article PubMed
  11.Gray LC, Matta BF (2005) Acute and chronic pain following craniotomy: a review. Anaesthesia 60:693-04View Article PubMed
  12.Guilfoyle MR, Helmy A, Duane D (2013) Regional scalp block for postcraniotomy analgesia: a systematic review and meta-analysis. Anesth Analg 116:1093-102View Article PubMed
  13.Gurbet A, Bekar A, Bilgin H (2008) Pre-emptive infiltration of levobupivacaine is superior to at-closure administration in lumbar laminectomy patients. Eur Spine J 17:1237-241View Article PubMed Central PubMed
  14.Hansen MS, Brennum J, Moltke FB (2011) Pain treatment after craniotomy: where is the (procedure-specific) evidence? A qualitative systematic review. Eur J Anaesthesiol 28:821-29View Article PubMed
  15.Johnson SM, Saint John BE, Dine AP (2008) Local anesthetics as antimicrobial agents: a review. Surg Infect 9:205-13View Article
  16.Ju NY, Cui GX, Gao W (2013) Ropivacaine plus dexamethasone infiltration reduces postoperative pain after tonsillectomy and adenoidectomy. Int J Pediatr Otorhinolaryngol 77:1881-885View Article PubMed
  17.Kampe S, Poetter C, Buzello S (2003) Ropivacaine 0.1% with sufentanil 1 microg/L inhibits in vitro growth of Pseudomonas aeruginosa and does not promote multiplication of Staphylococcus aureus. Anesth Analg 97:409-11View Article PubMed
  18.Katz J, Cohen L, Schmid R (2003) Postoperative morphine use and hyperalgesia are reduced by preoperative but not intraoperative epidural analgesia: implications for preemptive analgesia and the prevention of central sensitization. Anesthesiology 98:1449-460View Article PubMed
  19.Kaufman E, Epstein JB, Gorsky M (2005) Preemptive analgesia and local anesthesia as a supplement to general anesthesia: a review. Anesth Prog 52:29-8View Article PubMed Central PubMed
  20.Kawamata M, Takahashi T, Kozuka Y (2002) Experimental incision-induced pain in human skin: effect of systemic lidocaine on flare formation and hyperalgesia. Pain 100:77-9View Article PubMed
  21.Lawkoune JD, Szekely B, Fermanian C (2005) Scalp infiltration with bupivacaine plus epinephrine or plain ropivacaine reduces postoperative pain after supratentorial craniotomy. J Neurosurg Anesthesiol 17:139-43View Article
  22.Lee IO, Kim SH, Kong MH (2001) Pain after laparoscopic cholecystectomy: the effect and timing of incisional and intraperitoneal bupivacaine. Can J Anaesth 48:545-50View Article PubMed
  23.Leone S, Di Cianni S, Casati A (2008) Pharmacology, toxicology, and clinical use of new long acting local anesthetics, ropivacaine, and levobupivacaine. Acta Biomed 79:92-05PubMed
  24.Mordhorst C, Latz B, Kerz T (2010) Prospective assessment of postoperative pain after craniotomy. J Neurosurg Anesthesiol 22:202-06View Article PubMed
  25.Pakulski C, Nowicki R, Badowica B (2001) Effect of scalp infiltration with l
• 作者单位：Jie Song (1)
  Li Li (2)
  Pengtao Yu (1)
  Tao Gao (2)
  Kui Liu (1)
  
  1. Departments of Neurological Surgery, Union Medical Center, Tianjin, China
  2. Departments of Anesthesiology, Union Medical Center, 190#, Jieyuan Road, Hongqiao District, Tianjin, China, 300121
  
• 刊物主题：Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery;
• 出版者：Springer Vienna
• ISSN：0942-0940

文摘

Background In order to reduce the consequences of narcotic-related side effects and provide effective analgesia after craniotomy, we conducted a randomized trial to compare the analgesic efficacy of preemptive scalp infiltrations with 1?% lidocaine and 0.5?% ropivacaine on the postoperative pain. Methods Sixty adult patients scheduled for craniotomy were enrolled. A solution contained 0.5?% ropivacaine and 1?% lidocaine (40?ml) was prepared. In group A, local anesthetic was injected throughout the entire thickness of the scalp before skin incision. In group B, it was injected before skin closure. Additional intravenous injection and patient-controlled analgesia with morphine was used to control postoperative pain if the verbal numerical rating scale-gt;-. Cumulative morphine consumption; numerical rating scale of pain at 1, 2, 4, 6, 8, 12, and 24?h; postoperative nausea, vomiting, and respiratory depression, were recorded for 24?h after the operation. Results Postoperative pain scores were lower in group A than in group B within the first 6?h after surgery. Mean time to demand for postoperative analgesic was statistically (p-lt;-.001) delayed in group A 300 (240, 360) min compared to group B 150 (105, 200) min. Ten patients in group A received morphine analgesia was half less than 21 patients in group B (p-lt;-.006). The median morphine consumption in 24?h after operation in group A 10.5 (8, 15) mg was less than that in group B 28 (22.5, 30.5) mg (p-lt;-.001). Conclusions Preemptive scalp infiltration with 0.5?% ropivacaine and 1?% lidocaine provides effective postoperative analgesia after craniotomy.