Subcutaneous bupivacaine infiltration is not effective to support control of postoperative pain in paediatric patients undergoing spinal surgery

Abstrakt

Spinal deformity corrections in paediatric patients are long-lasting procedures involving damage to many tissues and long pain exposure; therefore, effective pain management after surgical treatment is an important issue. In this study, the effect of inclusion of local infiltration analgesia, as an integral part of the scheme in postoperative pain control, in children and adolescents, subjected to the spinal deformity correction procedure, was assessed. Thirty patients, aged 8 to 17 years, undergoing spinal deformity correction were divided into a study group, receiving a 0.25% bupivacaine solution before wound closure, and a control group (no local analgesic agent). Morphine, at the doses of 0.10 mg/kg of body weight, was administered to the patients when pain occurred. Pain scores, morphine administration, and bleeding were observed during 48 postoperative hours. The pain scores were slightly lower in a 0–4 h period in patients who received bupivacaine compared with those in the control group. However, no differences were observed in a longer period of time and in the total opioid consumption. Moreover, increasing bleeding was observed in the bupivacaine-treated patients (study group) vs. the control. Bupivacaine only modestly affects analgesia and, due to the increased bleeding observed, it should not to be part of pain control management in young patients after spinal deformity correction.

Autorzy

Anna Danielewicz
Anna Danielewicz
Marek Fatyga
Marek Fatyga
Grzegorz Starobrat
Grzegorz Starobrat
Magdalena Wójciak
Magdalena Wójciak
Ireneusz Sowa
Ireneusz Sowa
Sławomir Dresler
Sławomir Dresler
Michał Latalski
Michał Latalski
artykuł
Journal of Clinical Medicine
Angielski
2021
10
11
2407
otwarte czasopismo
CC BY 4.0 Uznanie autorstwa 4.0
ostateczna wersja opublikowana
w momencie opublikowania
2021-05-29
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4,964
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