Local Anesthetic Irrigation and Postoperative Pain in Patients Undergoing Breast Augmentation
Anesthesia Department, King Khalid University Hospital, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
- *Corresponding Author:
- Dr. Essam Mohamed Manaa, MD
Assistant Professor and Consultant
Assiut University Hospital, Assiut
Egypt. King Khalid University Hospital King Saud University
Riyadh P O Box 7805 Riyadh 11472, Saudi Arabia
E-mail: [email protected]
Received Date: June 07, 2011; Accepted Date: July 01, 2011; Published Date: July 06, 2011
Citation: Manaa E (2011) Local Anesthetic Irrigation and Postoperative Pain in Patients Undergoing Breast Augmentation. J Anesthe Clinic Res 2:151. doi: 10.4172/2155-6148.1000151
Copyright: © 2011 Manaa E. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: To determine if the irrigation of the breast cavity with local anesthetics in patients who undergo breast augmentation surgery reduces rescue analgesic requirements and postoperative pain intensity level, measured with the visual analogue scale (VAS).
Methods: This study is a Placebo controlled non randomized clinical trial. In the intervention group (group 1) the breast cavity was irrigated with 1% lidocaine with epinephrine (7 mg/kg), 0.5% bupivacaine (3 mg/kg) and normal saline solution. In the second control group (group 0) the breast cavity was irrigated with saline solution. Anesthetic and analgesic techniques were standardized. The type (morphine, hydromorphone and meperidine) and total required dose of opioid rescue analgesic medication in the Post Anesthetic Care Unit (PACU) were also registered. Postoperative pain intensity level was also registered at the moment of consciousness recovery, thirty minutes, the first hour, two, six and twenty four hours of postoperative period.
Results: There was a difference in the number of patients requiring opioid rescue analgesia with morphine at PACU (p<0.01), 10% in the intervention group versus 50% in the control group. Likewise, there was difference in pain intensity level (p<0.01).
Conclusions: Local anesthetic irrigation in patients who underwent breast augmentation surgery reduces opioid rescue analgesia requirements and postoperative pain intensity level.