Cargando…

The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study

PURPOSE: The aim of this study was to evaluate the effects of preoperative ropivacaine infiltration in patients undergoing robotic thyroidectomy using the bilateral axillary breast approach method. METHODS: Using a randomized, double-blind study design, 34 consecutive female patients who underwent r...

Descripción completa

Detalles Bibliográficos
Autores principales: Kang, Kyung Ho, Kim, Byung Seup, Kang, Hyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Surgical Society 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384283/
https://www.ncbi.nlm.nih.gov/pubmed/25844353
http://dx.doi.org/10.4174/astr.2015.88.4.193
_version_ 1782364877091766272
author Kang, Kyung Ho
Kim, Byung Seup
Kang, Hyun
author_facet Kang, Kyung Ho
Kim, Byung Seup
Kang, Hyun
author_sort Kang, Kyung Ho
collection PubMed
description PURPOSE: The aim of this study was to evaluate the effects of preoperative ropivacaine infiltration in patients undergoing robotic thyroidectomy using the bilateral axillary breast approach method. METHODS: Using a randomized, double-blind study design, 34 consecutive female patients who underwent robotic thyroidectomy were randomly assigned to receive local infiltration to the skin flap site using either only 0.9% saline solution, 3 mL/kg (group C, n = 17) or 0.1% ropivacaine with saline, 3 mg/kg (group L, n = 17). Local anesthetic was administered prior to skin incision after the induction of general anesthesia. Postoperative pain was rated at 2, 6, 18, 30, 42, and 66 hours postoperatively by visual analogue scale (VAS) score. The bottom hit counts (BHC) from patient controlled analgesia and fentanyl consumption were evaluated. CRP levels, mean blood pressure (BP), and heart rate (HR) were also evaluated. RESULTS: VAS pain scores were significantly lower in group L than in group C from 2 to 42 hours (P < 0.05). Fentanyl use for analgesia and BHC were also significantly lower in group L compared with group C during the first postoperative 6 and 2 hours, respectively (P < 0.05). The total consumption of fentanyl was significantly lower in group L than in group C (P = 0.009). No significant differences were noted for baseline, postoperative mean BP, or HR. CONCLUSION: Preoperative infiltration using ropivacaine with saline to all flap sites is a safe and effective method for reducing postoperative pain and postoperative fentanyl consumption in patients with robotic thyroidectomy.
format Online
Article
Text
id pubmed-4384283
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher The Korean Surgical Society
record_format MEDLINE/PubMed
spelling pubmed-43842832015-04-03 The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study Kang, Kyung Ho Kim, Byung Seup Kang, Hyun Ann Surg Treat Res Original Article PURPOSE: The aim of this study was to evaluate the effects of preoperative ropivacaine infiltration in patients undergoing robotic thyroidectomy using the bilateral axillary breast approach method. METHODS: Using a randomized, double-blind study design, 34 consecutive female patients who underwent robotic thyroidectomy were randomly assigned to receive local infiltration to the skin flap site using either only 0.9% saline solution, 3 mL/kg (group C, n = 17) or 0.1% ropivacaine with saline, 3 mg/kg (group L, n = 17). Local anesthetic was administered prior to skin incision after the induction of general anesthesia. Postoperative pain was rated at 2, 6, 18, 30, 42, and 66 hours postoperatively by visual analogue scale (VAS) score. The bottom hit counts (BHC) from patient controlled analgesia and fentanyl consumption were evaluated. CRP levels, mean blood pressure (BP), and heart rate (HR) were also evaluated. RESULTS: VAS pain scores were significantly lower in group L than in group C from 2 to 42 hours (P < 0.05). Fentanyl use for analgesia and BHC were also significantly lower in group L compared with group C during the first postoperative 6 and 2 hours, respectively (P < 0.05). The total consumption of fentanyl was significantly lower in group L than in group C (P = 0.009). No significant differences were noted for baseline, postoperative mean BP, or HR. CONCLUSION: Preoperative infiltration using ropivacaine with saline to all flap sites is a safe and effective method for reducing postoperative pain and postoperative fentanyl consumption in patients with robotic thyroidectomy. The Korean Surgical Society 2015-04 2015-03-26 /pmc/articles/PMC4384283/ /pubmed/25844353 http://dx.doi.org/10.4174/astr.2015.88.4.193 Text en Copyright © 2015, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Annals of Surgical Treatment and Research is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kang, Kyung Ho
Kim, Byung Seup
Kang, Hyun
The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
title The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
title_full The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
title_fullStr The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
title_full_unstemmed The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
title_short The benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
title_sort benefits of preincision ropivacaine infiltration for reducing postoperative pain after robotic bilateral axillo-breast approach thyroidectomy: a prospective, randomized, double-blind, placebo-controlled study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4384283/
https://www.ncbi.nlm.nih.gov/pubmed/25844353
http://dx.doi.org/10.4174/astr.2015.88.4.193
work_keys_str_mv AT kangkyungho thebenefitsofpreincisionropivacaineinfiltrationforreducingpostoperativepainafterroboticbilateralaxillobreastapproachthyroidectomyaprospectiverandomizeddoubleblindplacebocontrolledstudy
AT kimbyungseup thebenefitsofpreincisionropivacaineinfiltrationforreducingpostoperativepainafterroboticbilateralaxillobreastapproachthyroidectomyaprospectiverandomizeddoubleblindplacebocontrolledstudy
AT kanghyun thebenefitsofpreincisionropivacaineinfiltrationforreducingpostoperativepainafterroboticbilateralaxillobreastapproachthyroidectomyaprospectiverandomizeddoubleblindplacebocontrolledstudy
AT kangkyungho benefitsofpreincisionropivacaineinfiltrationforreducingpostoperativepainafterroboticbilateralaxillobreastapproachthyroidectomyaprospectiverandomizeddoubleblindplacebocontrolledstudy
AT kimbyungseup benefitsofpreincisionropivacaineinfiltrationforreducingpostoperativepainafterroboticbilateralaxillobreastapproachthyroidectomyaprospectiverandomizeddoubleblindplacebocontrolledstudy
AT kanghyun benefitsofpreincisionropivacaineinfiltrationforreducingpostoperativepainafterroboticbilateralaxillobreastapproachthyroidectomyaprospectiverandomizeddoubleblindplacebocontrolledstudy