Publication:
The effect of local anaesthetic on post-operative pain with wound instillation via a catheter for paediatric orthopaedic extremity surgery

dc.contributor.buuauthorBulut, T.
dc.contributor.buuauthorYılmazlar, Aysun
dc.contributor.buuauthorYavaşçaoğlu, Belgin
dc.contributor.buuauthorYAVAŞCAOĞLU, BELGİN
dc.contributor.buuauthorSarısözen, Bartu
dc.contributor.buuauthorSARISÖZEN, MEHMET BARTU
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı.
dc.contributor.departmentBursa Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı.
dc.contributor.orcid0000-0003-4820-2288
dc.contributor.orcid0000-0003-4071-8052
dc.contributor.researcheridAAG-9356-2021
dc.contributor.researcheridAAI-7914-2021
dc.contributor.researcheridABI-7283-2020
dc.date.accessioned2024-10-02T05:45:25Z
dc.date.available2024-10-02T05:45:25Z
dc.date.issued2011-06-01
dc.description.abstractPurpose We aimed to investigate the effects on postoperative pain of local anaesthetic administration via a catheter placed into the operation site in patients who were undergoing upper and lower extremity paediatric orthopaedic surgery.Methods In this randomised, double-blind and placebo study, 40 ASA I-II patients aged between 1 and 12 years were randomly allocated into two groups: study group (Group S: 0.2 ml/kg, 0.5% bupivacaine, n = 20) and control group (Group C: 0.2 ml/kg, serum physiologic, n = 20). Before the fascia was closed by the surgical team, the solution previously prepared by the chief nurse was injected into the subfascial soft tissue with the syringe as the "injected dose'' of serum physiologic or bupivacaine. After the closure, 0.2 ml/kg (1 mg/kg) bupivacaine or saline was instillated as the "first instillated dose'' into the surgical area via the catheter. Pain scores were recorded at 0, 1, 2, 4, 8, 12, 24 and 48 h post-operatively. Patients were administered 0.75 mg/kg meperidine intramuscularly post-operatively to equalise the pain scores.Results No statistically significant difference was found between Group S and Group C in terms of demographic and other data and pain scores in the post-anaesthesia care unit, while a statistically significant decrease was found at 2, 4, 8, 12, 24 and 48 h in Group S and at 1, 2 and 4 h in Group C based on pain scores in the post-anaesthesia care unit (P < 0.05). A statistically significant decreasing pain score was found at 4, 8, 12, 24 and 48 h in Group S (P < 0.05).Conclusion The local anaesthetic administered via a catheter implanted in the surgical field may provide long-term and efficient post-operative analgesia.
dc.identifier.doi10.1007/s11832-011-0337-3
dc.identifier.endpage185
dc.identifier.issn1863-2521
dc.identifier.issue3
dc.identifier.startpage179
dc.identifier.urihttps://doi.org/10.1007/s11832-011-0337-3
dc.identifier.urihttps://hdl.handle.net/11452/45624
dc.identifier.volume5
dc.identifier.wos000215406500003
dc.indexed.wosWOS.ESCI
dc.language.isoen
dc.publisherBritish Editorial Soc Bone Joint Surgery
dc.relation.journalJournal Of Childrens Orthopaedics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.subjectCaudal analgesia
dc.subjectBupivacaine
dc.subjectInfiltration
dc.subjectChildren
dc.subjectRelief
dc.subjectEfficacy
dc.subjectBlock
dc.subjectPost-operative pain
dc.subjectPaediatric
dc.subjectLocal anaesthetic
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectOrthopedics
dc.subjectPediatrics
dc.titleThe effect of local anaesthetic on post-operative pain with wound instillation via a catheter for paediatric orthopaedic extremity surgery
dc.typeArticle
dspace.entity.typePublication
relation.isAuthorOfPublication22870513-5f1d-4e85-9a57-284c8900e112
relation.isAuthorOfPublicationda5292e3-7761-4cf8-a4e0-8f9099cf6469
relation.isAuthorOfPublication.latestForDiscovery22870513-5f1d-4e85-9a57-284c8900e112

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