Bupivacaine wound infiltration reduces postoperative pain and analgesic requirement after thyroid surgery
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Background and objective
We conducted a prospective double-blind randomized study assessing bupivacaine end-of-surgery wound infiltration for pain relief in thyroid surgery.
Patients were randomly divided into two groups: Group S, local wound infiltration with saline solution; Group B, bupivacaine 0.5% was administered. Pain perception was measured using visual analogue scale (VAS) during post-anaesthetic care unit (PACU) stay every 10 min and during the 24 postoperative hours admission at 2, 4, 6, 12, and 24 h after surgery. The total consumption of analgesics (morphine and nefopam) was recorded.
Sixty patients were studied. The VAS scores were significantly lower in the bupivacaine administered group in the post-anaesthetic care unit (PACU) at 0, 10, 20, 30, 40, 50 and 60 min, and during the hospital stay at hours 6, 12, 18 and 24. The number of patients who required postoperative opioid rescue was significantly lower in group B. No patient in group B developed neurological or cardiological complications after infiltration.
Bupivacaine application is effective in decreasing postoperative pain and analgesic requirement during the hospital stay for patients with thyroidectomy.
KeywordsBupivacaine Pain Analgesia Thyroidectomy
Compliance with ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
Research involving human participants and/or animals
The study was approved by the appropriate institutional ethics committee and was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
- 13.Hosseini H, Abrisham SMJ, Jomeh H et al (2012) The comparison of intraarticular morphine-bupivacaine and tramadol-bupivacaine in postoperative analgesia after arthroscopic anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 20:1839–1844. https://doi.org/10.1007/s00167-011-1791-7 CrossRefGoogle Scholar
- 16.Foley PL, Ulery BD, Kan HM et al (2013) A chitosan thermogel for delivery of ropivacaine in regional musculoskeletal anesthesia. Biomaterials 34:2539–2546. https://doi.org/10.1016/j.biomaterials.2012.12.035 CrossRefPubMedGoogle Scholar
- 22.Eti Z, Irmak P, Gulluoglu BM et al (2006) Does bilateral superficial cervical plexus block decrease analgesic requirement after thyroid surgery? Anesth Analg 102:1174–1176. https://doi.org/10.1213/01.ane.0000202383.51830.c4 CrossRefPubMedGoogle Scholar