Continuous Local Infusion of Bupivacaine with ON-Q Pump System for Pain Management after Median Sternotomy
Postoperative pain remains as a challenging case despite improvement of analgesic techniques. It may also increase the rate of morbidity and even mortality. Local anesthesia may decrease the consumption of opioids and its potential side effects. This study was aimed to show the role of local anesthesia in post-sternotomy pain.
This prospective randomized clinical trial includes 40 candidates for elective coronary artery bypass graft (CABG) surgery. Patients with diabetic mellitus and other major co-morbidities were excluded. In group A (20 patiens) Bupivacaine 0.25% was continuously infused into subcutaneous tissue using the ON-Q system (I-flow Corporation, Lake Firest CA, USA) (2ml/h for 72h). Group B patients did not receive local anesthetics. The intensity of pain in was measured using Visual Analogue Scale (0-10). Need for narcotics or other analgesics, hemodynamic and arterial blood gas profiles were also recorded.
- حق عضویت دریافتی صرف حمایت از نشریات عضو و نگهداری، تکمیل و توسعه مگیران میشود.
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