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Reduction of pain and nausea after laparoscopic sterilization with bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning.

Auteur
HAL BRADFORD (T.); ROBERTSON (K.); NORMAN (P.F.); MEEKS (G.R.)
Collectivité auteur
Univ Mississippi medical cent. Dep obstetrics and gynecology. Div gynecology. Jackson MS. USA
Source
OBSTETRICS AND GYNECOLOGY, Vol 85, N° 5, N° p.1, 1995, pages 687-691, 16 réf., USA
ISSN
0029-7844
Type de document
ARTICLE
Langue
Anglais
Résumé
Objective : To determine whether postoperative pain and nausea after laparoscopic sterilization can be reduced with a combination of bupivacaine, metoclopramide, scopolamine, ketorolac, and gastric suctioning. Methods : Women undergoing outpatient laparoscopic sterilization were randomized to protocol management or nontreatment groups. Each patient received standard general endotracheal anesthesia. The nontreatment group served as controls. Visual analogue scales were used to evaluate pain and nausea (measured in millimeters). Results : During a 7-month period, 71 women were enrolled. Protocol subjects (N=35) reported pain severity of 27.9±19.1 mm (mean±standard deviation), whereas controls (N=36) reported 59.3±23.3 mm (P<. 001). Fourteen protocol patients requested additional pain medication, compared with 29 controls (P<. 001), Protocol patients indicated a nausea severity of 9.9±18.7 mm, whereas the controls reported 38.8±35.5 mm (P<. 001). Only one protocol patient required nausea medication. Severity of pain correlated with severity of nausea (r=0.38166, P<. 001). Conclusion : This regimen reduced the severity of pain and nausea after outpatient laparoscopic sterilization. The need for additional analgesics and antiemetics was also reduced. Protocol patients were disharged earlier than controls. These benefits seem to accrue without significant risk. We believe that this regimen may also be useful in other ambulatory laparoscopic procedures.
Mots-clés BDSP
Douleur Phase postopératoire Chirurgie Estomac Médicament analgésique Analyse coût avantage
Mots-clés Pascal
Douleur Postopératoire Nausée Laparoscopie Chirurgie Stérilisation femelle Bupivacaïne Métoclopramide Scopolamine Kétorolac Aspiration Estomac Analgésique Antiémétique Analyse avantage coût Chirurgie coelioscopique
Mots-clés Pascal anglais
Pain Postoperative Nausea Laparoscopy Surgery Female sterilization Aspiration Stomach Analgesic Antiemetic Cost benefit analysis Laparoscopic Surgery
Provenance

Inist-CNRS - Institut de l'Information Scientifique et Technique

Identifiant BDSP
114511
Création de la notice
1996-03-01
Dernière mise à jour
1996-03-01

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