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Article: Effect of pre-incision skin infiltration on post-hysterectomy pain: a double-blind randomized controlled trial

TitleEffect of pre-incision skin infiltration on post-hysterectomy pain: a double-blind randomized controlled trial
Authors
Issue Date2000
PublisherAustralian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.au
Citation
Anaesthesia and Intensive Care, 2000, v. 28 n. 5, p. 510-516 How to Cite?
AbstractIn this double-blind placebo-controlled randomized trial, we compared the analgesic effect of preoperative 0.25% bupivacaine (n = 21) skin infiltration with normal saline (n = 19) in patients undergoing abdominal hysterectomy through a lower midline incision. All patients received postoperative patient-controlled analgesia with morphine and were followed for 72 hours. The main outcome measures were morphine consumption and pain score at rest, and the contribution of different components of pain was also assessed prospectively. No statistically significant differences were found. All except one patient (n = 39) could distinguish the different characteristics of somatic and visceral pain. Visceral pain predominated in the first 48 hours. We concluded that local anaesthetic infiltration is not effective in reducing pain after abdominal hysterectomy. Effective postoperative analgesia should aim to eliminate the visceral pain component.
Persistent Identifierhttp://hdl.handle.net/10722/147188
ISSN
2015 Impact Factor: 1.283
2015 SCImago Journal Rankings: 0.488
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, CCen_US
dc.contributor.authorChan, YMen_US
dc.contributor.authorNgai, SWen_US
dc.contributor.authorNg, KFJen_US
dc.contributor.authorTsui, SLen_US
dc.date.accessioned2012-05-29T06:00:40Z-
dc.date.available2012-05-29T06:00:40Z-
dc.date.issued2000en_US
dc.identifier.citationAnaesthesia and Intensive Care, 2000, v. 28 n. 5, p. 510-516en_US
dc.identifier.issn0310-057Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/147188-
dc.description.abstractIn this double-blind placebo-controlled randomized trial, we compared the analgesic effect of preoperative 0.25% bupivacaine (n = 21) skin infiltration with normal saline (n = 19) in patients undergoing abdominal hysterectomy through a lower midline incision. All patients received postoperative patient-controlled analgesia with morphine and were followed for 72 hours. The main outcome measures were morphine consumption and pain score at rest, and the contribution of different components of pain was also assessed prospectively. No statistically significant differences were found. All except one patient (n = 39) could distinguish the different characteristics of somatic and visceral pain. Visceral pain predominated in the first 48 hours. We concluded that local anaesthetic infiltration is not effective in reducing pain after abdominal hysterectomy. Effective postoperative analgesia should aim to eliminate the visceral pain component.en_US
dc.languageengen_US
dc.publisherAustralian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.auen_US
dc.relation.ispartofAnaesthesia and Intensive Careen_US
dc.subject.meshAnalgesia, Patient-Controlleden_US
dc.subject.meshAnalgesics, Opioiden_US
dc.subject.meshAnesthesia, Localen_US
dc.subject.meshAnesthetics, Localen_US
dc.subject.meshBupivacaineen_US
dc.titleEffect of pre-incision skin infiltration on post-hysterectomy pain: a double-blind randomized controlled trialen_US
dc.typeArticleen_US
dc.identifier.emailNgai, SW: cora@hkucc.hku.hken_US
dc.identifier.emailNg, KFJ: jkfng@hku.hk-
dc.identifier.emailTsui, SL: sltsui@hkucc.hku.hk-
dc.identifier.authorityNg, KFJ=rp00544en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid11094665-
dc.identifier.scopuseid_2-s2.0-0033762897en_US
dc.identifier.hkuros57126-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0033762897&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume28en_US
dc.identifier.issue5en_US
dc.identifier.spage510en_US
dc.identifier.epage516en_US
dc.identifier.isiWOS:000165206000005-
dc.publisher.placeAustraliaen_US

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