IMPACT OF LOCAL INFILTRATION ANESTHESIA ON POSTOPERATIVE PAIN MANAGEMENT AFTER RHINOPLASTY IN DAY CARE SURGERY.

Acta Clin Croat

1Department of Maxillofacial, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic "Bagatin", Zagreb, Croatia; 2Department of General, Plastic, Reconstuctive and Aesthetic Surgery at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic "Bagatin", Zagreb, Croatia; 3Department of Anaesthesiology and Pain therapy at Maxillofacial, General, Plastic, Reconstructive and Aesthetic Surgery Polyclinic "Bagatin", Zagreb, Croatia; 4Department of Anaesthesiology, Reanimathology and Intensive medicine University hospital "Sveti Duh", Zagreb, Croatia; 5Faculty of Dental medicine and Health Osijek, Josip Juraj Strossmayer University in Osijek, Osijek, Croatia; 6Catholic University of Croatia, Zagreb, Croatia.

Published: June 2019

Use of local infiltration anaesthesia with 2% lidocaine in combination with epinephrine 1/100000 in rhinoplasty and 0.25% levobupivacaine in this research as an adjunct to general anaesthesia is compared analysing the need for postoperative analgesia in rhinoplasty patients. 30 patients received lidocaine combined with epinephrine (LA) and other 30 patients received levobupivacaine (LB). Comparison is done with Visual Analogue Scale in 30 min and 1, 3, 6 h postoperatively. Also 24 h need for analgesic treatment was recorded. In conclusion postoperative analgesia in LB group with general anaesthesia was significantly prolonged (P = 0.038).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6813470PMC
http://dx.doi.org/10.20471/acc.2019.58.s1.09DOI Listing

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