Intraperitoneal lidocaine for postoperative pain after laparoscopy.

Abstract:

BACKGROUND:A controversy exists over the effectiveness and clinical value of intraperitoneal local anaesthetics for treating pain after laparoscopic cholecystectomy. The use of intraperitoneal lidocaine was evaluated in this study. METHODS:At the end of surgery, 200 ml saline containing 200 mg lidocaine, or the same volume of saline, were randomly splashed under the right diaphragmatic surface in 50 patients in a double-blind manner. Postoperative shoulder and abdominal pain intensity were recorded on a numeric grading scale and a visual analogue scale, respectively. Analgesic consumption was also recorded. Respiratory function tests were compared before and after surgery. Side effects and recovery variables were assessed by the nurses at 2-h intervals. RESULTS:The incidence, severity and duration of shoulder pain were reduced from 40% of patients scoring 3.9+/-0.2 for duration of 17.9+/-0.2 h in the control group to 12% scoring 2.5+/-0.5 for duration of 1.6+/-0.01 h in the lidocaine group. Lidocaine treated patients had significantly less abdominal postoperative pain immediately on return to the ward and during the first postoperative day (P<0.05). "No pain on deep inspiration" was reported by 72% of patients in the lidocaine group immediately on return to the ward compared to 8% of those in the control group. Analgesic consumption for 24 h after surgery was significantly less in the lidocaine group (P<0.05). There were no significant differences in respiratory function tests, recovery variables or incidence of side effects between the two groups. CONCLUSION:Intraperitoneal lidocaine is simple to use and results in a long-lasting reduction of pain after a single administration.

authors

Elhakim M,Elkott M,Ali NM,Tahoun HM

doi

10.1034/j.1399-6576.2000.440310.x

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

280-4

issue

3

eissn

0001-5172

issn

1399-6576

journal_volume

44

pub_type

临床试验,杂志文章,随机对照试验
  • Circulatory monitoring of children during anaesthesia in low-field magnetic resonance imaging.

    abstract::Anaesthesia for patients in a Magnetic Resonance Imaging (MRI) scanner provides some problems for the design of both the anaesthetic and the monitoring equipment. This report presents a technique for continuously displaying the heart rate during anaesthesia for children in an MRI scanner. The monitoring system used li...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1990.tb03038.x

    authors: Selldén H,de Chateau P,Ekman G,Linder B,Sääf J,Wahlund LO

    更新日期:1990-01-01 00:00:00

  • The effect of bambuterol on plasma cholinesterase activity and suxamethonium-induced neuromuscular blockade in subjects heterozygous for abnormal plasma cholinesterase.

    abstract::Bambuterol is a new bronchodilator which is also a reversible inhibitor of plasma cholinesterase. In patients with normal plasma cholinesterase genotype, bambuterol prolongs suxamethonium-induced neuromuscular blockade. In the present study, we investigated the interaction of bambuterol and suxamethonium in nine patie...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1990.tb03153.x

    authors: Bang U,Viby-Mogensen J,Wirén JE

    更新日期:1990-10-01 00:00:00

  • Pre-operative transthoracic echocardiography in ambulatory surgery-A cross-sectional study.

    abstract:BACKGROUND:Cardiac disease and aberrations in central volume status are risk factors for perioperative complications, and should be identified prior to surgery. This study investigated the benefit of transthoracic echocardiography (TTE) for pre-operative identification of cardiac disease and hypovolemia in ambulatory s...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13620

    authors: Stenberg Y,Lindelöf L,Hultin M,Myrberg T

    更新日期:2020-09-01 00:00:00

  • Mechanism of the ropivacaine-induced increase in intracellular Ca2+ concentration in rat aortic smooth muscle.

    abstract:BACKGROUND:Ropivacaine is a long-acting local anesthetic with low cardiac toxicity that induces vasoconstriction in vitro and in vivo. Vascular smooth muscle tone is regulated by changes in both intracellular Ca(2+) concentration ([Ca(2+)](i)) and myofilament Ca(2+) sensitivity. Therefore, the aim of this study was to ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01390.x

    authors: Tokinaga Y,Ogawa K,Yu J,Kuriyama T,Minonishi T,Hatano Y

    更新日期:2007-10-01 00:00:00

  • Dexamethasone for pain after outpatient shoulder surgery: a randomised, double-blind, placebo-controlled trial.

    abstract:BACKGROUND:Dexamethasone has analgesic properties when given intravenously before surgery, but the optimal dose has not been determined. We hypothesised that a dose of 40 mg dexamethasone would improve analgesia after outpatient shoulder surgery compared with 8 mg. METHODS:A randomised, double-blind, placebo-controlle...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12333

    authors: Bjørnholdt KT,Mønsted PN,Søballe K,Nikolajsen L

    更新日期:2014-07-01 00:00:00

  • Calculation of end-tidal carbon dioxide fractions in the Bain system.

    abstract::The validity of the Stenqvist-Sonander formula for calculating the end-expiratory fraction of carbon dioxide (FACO2) in the coaxial Mapleson D (Bain) systems was evaluated using a lung model for simulated spontaneous breathing with an optional respiratory wave form. Two different respiratory flow patterns were used, o...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1989.tb02863.x

    authors: Jonsson LO,Zetterström H

    更新日期:1989-01-01 00:00:00

  • Effect of vecuronium and pancuronium on cardiac performance and transmural myocardial perfusion during ketamine anaesthesia.

    abstract::The haemodynamic effects of vecuronium and pancuronium were studied in 20 healthy patients during diazepam/ketamine anaesthesia. Anaesthesia was induced with glycopyrrolate 3 micrograms/kg, diazepam 0.3 mg/kg and ketamine 1.0 mg/kg as a bolus and 1.0 mg/kg over 10 min. After induction, anaesthesia was maintained with ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02095.x

    authors: Pedersen T,Engbaek J,Ording H,Viby-Mogensen J

    更新日期:1984-08-01 00:00:00

  • Continuous infusion of midazolam during anaesthesia and postoperative sedation after maxillofacial surgery.

    abstract::The clinical effects and pharmacokinetics of 24 h infusion of midazolam (MDZ) during major maxillofacial surgery and postoperative observation in an Intensive Care Unit (ICU) were studied in 20 patients. During anaesthesia, infusion of MDZ at 5 mg/h combined with 67% nitrous oxide, 1.8 (s.d. = 0.8) mg of fentanyl, and...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1989.tb02872.x

    authors: Driessen JJ,Dirksen MS,Rutten JM,Santman F,van Egmond J,Vree TB

    更新日期:1989-02-01 00:00:00

  • Are the cardiovascular actions of dopamine altered by isoflurane?

    abstract::Dopamine seems theoretically to be a rationale choice when adrenergic support is needed to counter undesired cardiovascular depressant effects of isoflurane. Although the cardiovascular effects of isoflurane (ISO) and exogenous dopamine (DA) are well documented, there are no reports on their pharmacological interactio...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1995.tb04147.x

    authors: Raner C,Biber B,Henriksson BA,Lundberg J,Martner J,Winsö O

    更新日期:1995-07-01 00:00:00

  • Intrathecal ropivacaine 5 mg/ml for outpatient knee arthroscopy: a comparison with lidocaine 10 mg/ml.

    abstract:PURPOSE:The aim of this prospective, randomised, blind study was to compare the evolution of spinal block produced with 50 mg lidocaine 10 mg/ml and 10 mg ropivacaine 5 mg/ml for outpatient knee arthroscopy. METHODS:Thirty outpatients undergoing knee arthroscopy received 50 mg of lidocaine 10 mg/ml (n=15) or 10 mg of ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2008.01815.x

    authors: Fanelli G,Danelli G,Zasa M,Baciarello M,Di Cianni S,Leone S

    更新日期:2009-01-01 00:00:00

  • Oral naproxen but not oral paracetamol reduces the need for rescue analgesic after adenoidectomy in children.

    abstract:BACKGROUND:Our aim was to show the efficacy of naproxen and paracetamol with and without pethidine on pain and nausea and vomiting after adenoidectomy. The primary outcome was the requirement of rescue analgesic for post-operative pain and the secondary outcome was post-operative nausea and vomiting (PONV). METHODS:A ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2007.01319.x

    authors: Korpela R,Silvola J,Laakso E,Meretoja OA

    更新日期:2007-07-01 00:00:00

  • PaO2 oscillations caused by cyclic alveolar recruitment can be monitored in pig buccal mucosa microcirculation.

    abstract:BACKGROUND:Cyclic alveolar recruitment and derecruitment play a role in the pathomechanism of acute lung injury and may lead to arterial partial pressure of oxygen (PaO(2) ) oscillations within the respiratory cycle. It remains unknown, however, if these PaO(2) oscillations are transmitted to the microcirculation. The...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12019

    authors: Klein KU,Hartmann EK,Boehme S,Szczyrba M,Heylen L,Liu T,David M,Werner C,Markstaller K,Engelhard K

    更新日期:2013-03-01 00:00:00

  • Experience with a "Feed and Swaddle" program in infants up to six months of age.

    abstract:BACKGROUND:Feed and swaddle is a technique in which an infant is fed and allowed to fall asleep to facilitate diagnostic imaging. This study reviews our experience and diagnostic success in premature and term infants up to 6 months old undergoing brain magnetic resonance imaging (MRI) using a feed and swaddle technique...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13471

    authors: Templeton LB,Norton MJ,Goenaga-Díaz EJ,McLaughlin DH,Zapadka ME,Templeton TW

    更新日期:2020-01-01 00:00:00

  • Propofol-remifentanil or sevoflurane for children undergoing magnetic resonance imaging? A randomised study.

    abstract:BACKGROUND:Magnetic resonance imaging (MRI) of children is generally performed under sedation or with general anaesthesia (GA), but the ideal regimen has not been found. The aim of this study was to see if propofol-remifentanil would be a suitable alternative for the maintenance of anaesthesia in this category of patie...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12151

    authors: Pedersen NA,Jensen AG,Kilmose L,Olsen KS

    更新日期:2013-09-01 00:00:00

  • Cardiac arrest during anaesthesia. A computer-aided study in 250,543 anaesthetics.

    abstract::With the aid of a computer-based anaesthetic record-keeping system, all cardiac arrests during anaesthesia at the Karolinska Hospital between July 1967 and December 1984 were retrieved. There were a total of 170 cardiac arrests and 250,543 anaesthetics in the data file, which gives an incidence of 6.8 cardiac arrests ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1988.tb02804.x

    authors: Olsson GL,Hallén B

    更新日期:1988-11-01 00:00:00

  • Analysis of left ventricular systolic function during elevated external cardiac pressures: an examination of measured transmural left ventricular pressure during pressure-volume analysis.

    abstract:BACKGROUND:Variations or disturbances in intrathoracic and extracardiac pressures (ECP) occur in critically ill and anaesthetised patients. There are uncertainties concerning the analysis of left ventricular pressure-volume relationship (LVPVR) and the calculation of systolic function parameters when conducted without ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.045007868.x

    authors: Haney MF,Johansson G,Häggmark S,Biber B

    更新日期:2001-08-01 00:00:00

  • Haemodynamic effects of intravenous procaine as a supplement to general anaesthesia in patients with valvular heart disease.

    abstract::The effect of intravenous procaine, 2 mg/kg/min, on the cardiovascular function of nine patients scheduled for cardiac valve replacement was studied under enflurane-pancuronium anaesthesia. Procaine infusion was started after intubation during steady-state anaesthesia, and continued until start of cardiopulmonary by-p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02005.x

    authors: Waaben J,Sørensen O,Wiberg-Jørgensen F,Flachs H,Skovsted P

    更新日期:1984-02-01 00:00:00

  • Preferences for shared decision making in chronic pain patients compared with patients during a premedication visit.

    abstract:BACKGROUND:There is some evidence that patients' outcomes improve if they are involved in shared decision making (SDM). A chronic pain clinic or premedication visit could be adequate settings for the implementation of SDM. So far, the patients' preference for involvement in decision making and their desire for informat...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2006.01097.x

    authors: Spies CD,Schulz CM,Weiss-Gerlach E,Neuner B,Neumann T,von Dossow V,Schenk M,Wernecke KD,Elwyn G

    更新日期:2006-09-01 00:00:00

  • Reducing the risk of systemic embolization during gynecologic laparoscopy--effect of volume preload.

    abstract:BACKGROUND:About 27% of the population is known to have a patent foramen ovale. It can be opened if the left atrial pressure is less than the right atrial pressure. This pressure reversal has been reported during gynecologic laparoscopic surgery. The present paper describes with help of transesophageal echocardiography...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:

    authors: Tuppurainen T,Mäkinen J,Salonen M

    更新日期:2002-01-01 00:00:00

  • Pharmacokinetics of dexmedetomidine in Chinese post-surgical intensive care unit patients.

    abstract:BACKGROUND:Dexmedetomidine is a rather new drug in China. We sought to describe the pharmacokinetics of dexmedetomidine in patients requiring post-operative sedation and ventilation in our surgical intensive care unit. METHODS:Twenty-two patients received post-operative infusions of dexmedetomidine at 6 μg/kg/h for 10...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2010.02392.x

    authors: Lin L,Guo X,Zhang MZ,Qu CJ,Sun Y,Bai J

    更新日期:2011-03-01 00:00:00

  • Pharmacokinetics of 0.2% ropivacaine and 0.2% bupivacaine following caudal blocks in children.

    abstract:BACKGROUND:Ropivacaine is the first S-enantiomer aminoamide local anaesthetic in clinical use, and has been found to be less toxic than bupivacaine. Caudal ropivacine has been shown to cause less motor blockade and longer duration of analgesia in the postoperative period than bupivacaine in children. Plasma levels of r...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.2000.440911.x

    authors: Ala-Kokko TI,Partanen A,Karinen J,Kiviluoma K,Alahuhta S

    更新日期:2000-10-01 00:00:00

  • Prolonged dysequilibrium between blood and brain concentrations of propofol during infusions in sheep.

    abstract:BACKGROUND:Previous work had shown dysequilibrium between the arterial blood and brain concentrations of the intravenous anaesthetic agent propofol following its rapid administration over 2 min to sheep. The extent of dysequilibrium was examined following slower administration as a constant rate 45-min infusion (10 mg/...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.1999.430215.x

    authors: Ludbrook GL,Upton RN,Grant C,Martinez A

    更新日期:1999-02-01 00:00:00

  • Metabolic effects of a low-pressure tourniquet system compared with a high-pressure tourniquet system in arthroscopic anterior crucial ligament reconstruction.

    abstract:BACKGROUND:Bloodless field is an integral part of orthopedic surgery. Use of tourniquet is associated with a risk of skeletal muscle ischemia and reperfusion injury. The purpose of this prospective, open-randomized study was to determine if the use of a tourniquet system using low pressure, with a wide, curved cuff con...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1998.tb05135.x

    authors: Kokki H,Väätäinen U,Penttilä I

    更新日期:1998-04-01 00:00:00

  • Design and implementation of a closed-loop control system for infusion of propofol guided by bispectral index (BIS).

    abstract:BACKGROUND:This study describes the design of a hypnosis closed-loop control system with propofol. The controller used a proportional-integral (PI) algorithm with the bispectral index (BIS) as the feedback signal. Our hypothesis was that a PI closed-loop control could be applied in clinical practice safely keeping the ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2012.02738.x

    authors: Reboso JA,Méndez JA,Reboso HJ,León AM

    更新日期:2012-09-01 00:00:00

  • A novel risk score for severe ARDS patients undergoing ECMO after retrieval from peripheral hospitals.

    abstract:BACKGROUND:Extracorporeal Membrane Oxygenation in severe ARDS unresponsive to conventional protective ventilation is associated with elevated costs, resource and complications, and appropriate risk stratification of candidate patients could be useful to recognize those more likely to benefit from ECMO. We aimed to deri...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13022

    authors: Lazzeri C,Cianchi G,Mauri T,Pesenti A,Bonizzoli M,Batacchi S,Chiostri M,Socci F,Peris A

    更新日期:2018-01-01 00:00:00

  • Anesthesia-related mortality and morbidity over a 5-year period in 2,363,038 patients in Japan.

    abstract:BACKGROUND:Statistical data of mortality and morbidity related to anesthesia have not been reported in Japan since World War II. The need to comprehensively examine the events of cardiac arrest as well as mortality prompted the first national study in Japan. METHODS:Confidential questionnaires were sent to all Japan S...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2003.00166.x

    authors: Kawashima Y,Takahashi S,Suzuki M,Morita K,Irita K,Iwao Y,Seo N,Tsuzaki K,Dohi S,Kobayashi T,Goto Y,Suzuki G,Fujii A,Suzuki H,Yokoyama K,Kugimiya T

    更新日期:2003-08-01 00:00:00

  • Atelectasis and pulmonary shunting during induction of general anaesthesia--can they be avoided?

    abstract:BACKGROUND:Gas exchange is regularly impaired during general anaesthesia with mechanical ventilation. A major cause of this disorder appears to be atelectasis and consequently pulmonary shunt. After re-expansion, atelectasis reappears very slowly if 30% oxygen in nitrogen is used, but much faster if 100% oxygen is used...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1996.tb04483.x

    authors: Rothen HU,Sporre B,Engberg G,Wegenius G,Reber A,Hedenstierna G

    更新日期:1996-05-01 00:00:00

  • Comparison of parenteral diclofenac and ketoprofen for postoperative pain relief after maxillofacial surgery.

    abstract::Non-steroidal anti-inflammatory drugs (NSAID) effectively reduce the need for opioid analgesia after various types of surgery. The efficacy of diclofenac and ketoprofen to relieve pain after maxillofacial surgery was compared in the present study. In a randomized and double-blind fashion, 90 ASA I-II patients (16-60 y...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1995.tb05599.x

    authors: Niemi L,Tuominen M,Pitkänen M,Rosenberg PH

    更新日期:1995-01-01 00:00:00

  • Calculated versus measured oxygen consumption during and after cardiac surgery. Is it possible to estimate lung oxygen consumption?

    abstract:BACKGROUND:Lung tissue is metabolically active and consumes oxygen. The oxygen content difference between arterial and mixed venous blood does not include the effect of pulmonary tissue oxygen uptake. Thus, oxygen consumption (VO2) of the lung should be reflected as a difference between VO2 measured by gas exchange and...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04792.x

    authors: Keinänen O,Takala J

    更新日期:1997-08-01 00:00:00

  • Anaesthesia for computerised tomography of the brain in children: a comparison of propofol and thiopentone.

    abstract::Propofol (2,6-di-isopropylphenol) 1.5-2.0 mg/kg i.v. was compared with thiopentone 3.0-4.0 mg/kg i.v. as an induction agent in anaesthesia for computerised tomography (CT) of the brain in children. Both induction agents were combined with diazepam 0.2 mg/kg i.v. Thirty children (ASA physical status I-II) aged 3 to 10 ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1989.tb02884.x

    authors: Valtonen M

    更新日期:1989-02-01 00:00:00