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
- 발행연도
- 2017.7
- 수록면
- 207 - 213 (7page)
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초록· 키워드
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Background: Surgeon satisfaction and patient analgesia during the procedure of laparoscopic surgery are important issues. The aim of this work was to study if an intrathecal (IT) Bupivacaine combined with Magnesium sulfate may or may not provide good surgeon satisfaction in addition to improvement of intraoperative and postoperative analgesia. Methods: Sixty female patients were enrolled in this prospective, randomized, double-blind controlled clinical trial study. All patients were operated for gynecological laparoscopic surgery under spinal anesthesia. Patients were divided into two groups (Bupivacaine and Magnesium). Group Bupivacaine (30 patients) received intrathecal Bupivacaine 0.5% only (15 mg), while 30 patients in group Magnesium received intrathecal Bupivacaine (15 mg) in addition to intrathecal Magnesium sulfate (50 mg). The sensory block level, the intensity of motor block, the surgeon satisfaction, the intraoperative visual analog scale (VAS) for pain assessment, the postoperative VAS, and side effects were recorded during the intraoperative period and within the first 24 hours after surgery in the post-anesthesia care unit. Results: Surgeon satisfaction, intraoperative shoulder pain, postoperative pain after 2 h, and perioperative analgesic consumption (ketorolac) were significant better in group Magnesium than in group Bupivacaine. (P ＜ 0.05). The onset of motor and sensory blocks was significant longer in group Magnesium than the other one. The incidence of PONV, pruritus and urinary retention was insignificant statistically between both groups. Conclusions: Magnesium sulfate if used intrathecally as an adjuvant to Bupivacaine would provide a better surgeon satisfaction and would improve the analgesic effect of spinal anesthesia used for gynecological laparoscopic surgery. (Korean J Pain 2017; 30: 207-13)
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Sinha R / 2008 / Laparoscopic surgery using spinal anesthesia / JSLS 12:133~138
Hamad MA / 2003 / Laparoscopic cholecystectomy under spinal anesthesia with nitrous oxide pneumoperitoneum : a feasibility study / Surg Endosc 17:1426~1428
Gerges FJ / 2006 / Jabbour-khoury SI. Anesthesia for laparoscopy: a review / J Clin Anesth 18:67~78
Murphy AA / 1992 / Operative laparoscopy versus laparotomy for the management of ectopic pregnancy : a prospective trial / Fertil Steril 57:1180~1185
Minai H / 2005 / Anesthetic management for awake laparoscopic surgery for ectopic pregnancy in a patient with heterotopic pregnancy / Masui 54:1313~1314
Hamad MA / 2003 / Laparoscopic cholecystectomy under spinal anesthesia with nitrous oxide pneumoperitoneum : a feasibility study / Surg Endosc 17:1426~1428
Gerges FJ / 2006 / Jabbour-khoury SI. Anesthesia for laparoscopy: a review / J Clin Anesth 18:67~78
Murphy AA / 1992 / Operative laparoscopy versus laparotomy for the management of ectopic pregnancy : a prospective trial / Fertil Steril 57:1180~1185
Minai H / 2005 / Anesthetic management for awake laparoscopic surgery for ectopic pregnancy in a patient with heterotopic pregnancy / Masui 54:1313~1314
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