the effect of bupivacaine %0.5 versus lidocaine %2 injection for pain control in patients after percutaneous nephrolithotomy (pcnl)
نویسندگان
چکیده
aim and background: controlling pain in the post-operative period is still one of the challenging issues for anaesthesiologists as it tremendously helps patients to return to their daily life as soon as possible. in this survey we have tried to compare the efficacy of %0.5 bupivacaine and %2 lidocaine with normal saline for controlling pain after pcnl. methods and materials: in a double blind clinical trial, 60 patients were enrolled being divided into 3 groups. %0.5 bupivacaine in a dose of 0.5 mg/kg diluted in 20 cc normal saline was injected, into the insertion site and also the tract of the pcnl probe in group one. in our second group, %2 lidocaine (4mg/kg) diluted in 20 cc normal saline, and in the third group, just 20cc ns were injected in the same manner and direction. vas was measured at 0, 3, 6, 9, 12, 15, and 18 hours post-operatively in order to evaluate pain control. findings: the mean vas measured 0, 3, and 6 hours post-operatively in the bupivacaine and lidocaine groups was less than the normal saline group (p<0/05). the average time to injection of the first dose of pethedine was longer in the bupivacaine and lidocaine groups than the normal saline group. (p<0/05). conclusions: injection of 0. 5% bupivacaine and %2 lidocaine in the puncture site of pcnl is effective for pain control after pcnl surgery according to our results.
منابع مشابه
مقایسه تاثیر تزریق بوپیوا کائین 0.5% با لیدوکائین 2 % جهت کنترل درد بیماران تحت عمل جراحی خارج کردن سنگ کلیه از طریق پوست ( PCNL )
Aim and Background: Controlling pain in the post-operative period is still one of the challenging issues for anaesthesiologists as it tremendously helps patients to return to their daily life as soon as possible. In this survey we have tried to compare the efficacy of %0.5 bupivacaine and %2 lidocaine with normal saline for c...
متن کاملPercutaneous nephrolithotomy (PCNL) in horse shoe kidneys.
OBJECTIVE To review our experience of PCNL in horse shoe kidneys. METHODS Between June 2001 and January 2005 we performed PCNL in 16 Horse shoe kidneys in 14 patients with calculi, 2 patients had bilateral calculi. Percutaneous puncture was made with patient in prone position. Their ages ranged between 4 to 52 years with a mean age of 26.3 years. Our mean stone burden was 820 mm2 (range 40-13...
متن کاملUltra-mini-percutaneous nephrolithotomy (PCNL) versus standard PCNL: A randomised clinical trial
Objective To assess the effectiveness and advantages of ultra-mini-percutaneous nephrolithotomy (UM-PCNL) versus standard PCNL (S-PCNL), as one of the most important differences between the various PCNL techniques is the size of the renal access, which contributes to the broad spectrum of complications and outcomes. Patients and methods This clinical randomised trial was conducted in 2016. In...
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We report the case of a patient with pain and an abdominal palpable mass whose tests showed a right pelvic kidney with a 4-cm stone in the renal pelvis. We describe the successful management through laparoscopic assisted percutaneous nephrolithotomy (PCNL) in ectopic pelvic kidney, stressing that this method is a minimally invasive therapeutic option in such cases.
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عنوان ژورنال:
بیهوشی و دردجلد ۳، شماره ۲، صفحات ۷۴-۰
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