Advertisement

International Orthopaedics

, Volume 15, Issue 1, pp 53–55 | Cite as

The use of bupivacaine to relieve pain at iliac graft donor sites

  • B. D. Todd
  • S. C. Reed
Article

Summary

We report a prospective study to test the hypothesis that infiltrating the wound with bupivacaine during operations for the removal of iliac bone grafts will lead to a significant reduction of pain. Pain was assessed by a visual analogue scale applied at regular intervals. Bupivacaine infiltration appears to reduce pain for 24 hours, but only to a significant degree during the first 4 hours after operation.

Keywords

Public Health Visual Analogue Scale Analogue Scale Bone Graft Bupivacaine 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Nous présentons une étude prospective destinée à montrer si l'infiltration per-opératoire de Bupivacaïne, au cours des prises de greffe iliaque, réduit significativement l'intensité de la douleur. Celle-ci a été appréciée, à intervalles réguliers, à l'aide d'une échelle visuelle analogique. L'infiltration de Bupivacaïne paraît réduire la douleur pendant les vingt-quatre heures qui suivent l'opération, mais ceci n'est significatif que durant les quatre premières heures.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Adams JC (1985) Standard orthopaedic operations, 3rd edn. Churchill Livingstone, Edinburgh Harlow, pp 69–70Google Scholar
  2. 2.
    Bonica JJ (1983) Current status of postoperative pain therapy. In: Yokota T, Dubner R (eds) Current topics in pain research and therapy. Excerpta Medica, Amsterdam, pp 168–189Google Scholar
  3. 3.
    Bourne MH, Johnson KA (1988) Postoperative pain relief using local anaesthetic instillation. Foot Ankle 8: 350–351Google Scholar
  4. 4.
    Brismar B, Pettersson N, Tokics L, Strandberg A, Hedenstierna G (1987) Postoperative analgesia with intrapleural administration of bupivacaine-adrenaline. Acta Anaesthaesiol Scand 31: 515–520Google Scholar
  5. 5.
    Cook PT, Lambert TF (1986) An investigation of the offectiveness of bupivacaine applied to the abdominal wall and fallopian tubes in reducing pain after laparoscopic tubal ligation. Anaesth Intens Care 14: 148–151Google Scholar
  6. 6.
    Crawford ED, Skinner DG (1982) Intercostal nerve block with thoracoabdominal and flank incisions. Urology 19: 25–28Google Scholar
  7. 7.
    Cross GD, Barrett RF (1987) Comparison of two regional techniques for postoperative analgesia in children following herniotomy and orchidopexy. Anaesthesia 42: 845–849Google Scholar
  8. 8.
    Jensen MP, Karoly P, Bravor S (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain 27: 117–126Google Scholar
  9. 9.
    Levack ID, Holmes JD, Robertson GS (1986) Abdominal wound perfusion for the relief of postoperative pain. Br J Anaesth 58: 615–619Google Scholar
  10. 10.
    McQuay HJ, Carroll D, Moore RA (1988) Postoperative orthopaedic pain — the effect of opiate premedication and local anaesthetic blocks. Pain 33: 291–295Google Scholar
  11. 11.
    Melzack R, Abbott FV, Zackon W, Mulder DS, Davis MWL (1987) Pain on a surgical ward: a survey of the duration and intensity of pain and the effectiveness of medication. Pain 29: 67–72Google Scholar
  12. 12.
    Milligan KA, Mowbray MJ, Mulrooney L, Standen PJ (1988) Intraarticular bupivacaine for pain relief after arthroscopic surgery of the knee joint in daycase patients. Anaesthesia 43: 563–564Google Scholar
  13. 13.
    Moss G, Regal ME, Lichtig L (1986) Reducing postoperative pain, narcotics and length of hospitalization. Surgery 99: 206–210Google Scholar
  14. 14.
    Mullen JB, Cook WA (1979) Reduction of postoperative lumbar hemilaminectomy pain with Marcaine. J Neurosurg 51: 126–127Google Scholar
  15. 15.
    Nagman J (1979) Measurement and control of postoperative pain. Ann R Coll Surg Engl 61: 419–426Google Scholar
  16. 16.
    Owen H, Galloway DG, Mitchell KG (1985) Analgesia by wound infiltration after surgical excision of benign breast lumps. Ann R Coll Surg Eng 67: 114–115Google Scholar
  17. 17.
    Patel JM, Lanzafame RJ, Williams JS, Mullen BV, Hinshaw JR (1983) The effect of incisional infiltration of bupivacaine hydrochloride upon pulmonary functions, atelectasis and narcotic need following elective cholecystectomy. Surg Gynaecol Obstetr 157: 338–340Google Scholar
  18. 18.
    Scott NB, Mogensen T, Greulich A, Hjortso NC, Kehlet H (1988) No effect of continuous intrapleural infusion of bupivacaine on postoperative analgesia, pulmonary function and the stress response to surgery. Br J Anaesth 61(2): 165–168Google Scholar
  19. 19.
    Stromskag KE, Reiestad F, Holmquist ELO, Ogenstad S (1988) Intrapleural administration of 0.25%, 0.375% and 0.5% bupivacaine with epinephrine after cholecystectomy. Anaesth Analg 67: 430–434Google Scholar
  20. 20.
    Teddy PJ, Fabinyi GCA, Kerr JH, Briggs M (1981) Bupivacaine infiltration after lumbar laminectomy. Anaesthesia 36: 380–383Google Scholar
  21. 21.
    Thomas DFM, Lambert WG, Lloyd Williams K (1983) The direct perfusion of surgical wounds with local anaesthetic solution: an approach to postoperative pain? Ann R Coll Surg Eng 65: 226–229Google Scholar
  22. 22.
    Tierney E, Lewis G, Hurtig JB, Johnson D (1987) Femoral nerve block with bupivacaine 0.25% for post-operative analgesia after open knee surgery. Can J Anaesth 34: 455–458Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • B. D. Todd
    • 1
  • S. C. Reed
    • 1
  1. 1.Stoke Mandeville HospitalAylesburyEngland

Personalised recommendations