지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.54 No.1
- 발행연도
- 2008.1
- 수록면
- 69 - 73 (5page)
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초록· 키워드
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Although a laparoscopic cholecystectomy results in less pain than an open cholecystectomy, it is not a pain-free procedure. Therefore, this study was conducted to determine whether perioperative intravenous lidocaine would reduce postoperative pain after a laparoscopic cholecystectomy. Methods: Fifty patients undergoing laparoscopic cholecystectomy were divided into two groups; a lidocaine group, in which patients were injected with a lidocaine bolus (1.5 mg/kg) and infusion (1.5 mg/kg/h); and a control group, in which patients were injected with the same volume of saline bolus and infusion. Intravenous lidocaine was initiated before anesthesia was administered and continued for 1 hour postoperatively. The intensity of abdominal and shoulder pain was then assessed 1, 6, 12 and 24 hours after surgery and recorded using a visual analog pain score (VAS) and verbal rating score (VRS). Results: The abdominal pain score (VAS and VRS) was significantly lower in the lidocaine group than in the control group at all times evaluated during the first 24 hours after surgery (P ＜ 0.05). In addition, the shoulder pain score and incidence were significantly lower in the lidocaine group than the control group at 12 hours and 24 hours after surgery (P ＜ 0.05). In the lidocaine group, the incidences of epigastric, right flank, and back pain were lower than that of the control group, but these differences were not statistically significant. Conclusions: Perioperative intravenous lidocaine reduces shoulder and abdominal pain for 24 hours after laparoscopic cholecystectomy.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Barkun JS / 1992 / Randomised controlled trial of laparoscopic versus mini-cholecystectomy. The McGill Gallstone Treatment group / Lancet 304:1116~9
Squirrell DM / 1998 / A randomized, prospective, blinded comparison of postoperative pain, metabolic reponse, and perceived health after laparoscopic and small incision cholecystectomy / Surgery 123:485~95
Madson MR / 1992 / Postoperative pain and nausea after laparoscopic cholecystectomy / Surgical Laparoscopy and Endoscopy 2:303~5
Ure BM / 1994 / Pain after laparoscopic cholecystectomy. Intensity and localization of pain and analysis of predictors in preoperative symptoms and intraoperative events / Surgical Endoscopy 8:90~6
Elhakim M / 2000 / Intraperitoneal lidocaine for postoperative pain after laparoscopy / Acta Anaesthesiologica Scandinavica 44:280~4
Squirrell DM / 1998 / A randomized, prospective, blinded comparison of postoperative pain, metabolic reponse, and perceived health after laparoscopic and small incision cholecystectomy / Surgery 123:485~95
Madson MR / 1992 / Postoperative pain and nausea after laparoscopic cholecystectomy / Surgical Laparoscopy and Endoscopy 2:303~5
Ure BM / 1994 / Pain after laparoscopic cholecystectomy. Intensity and localization of pain and analysis of predictors in preoperative symptoms and intraoperative events / Surgical Endoscopy 8:90~6
Elhakim M / 2000 / Intraperitoneal lidocaine for postoperative pain after laparoscopy / Acta Anaesthesiologica Scandinavica 44:280~4
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