Local Anesthetic Infiltration During Pediatric Percutaneous Nephrolithotomy Improves Postoperative Analgesia

Journal of Urological Surgery

article

Erman Ceyhan¹  Fatih İleri²  Ali Cansu Bozacı³  Hasan Serkan Doğan³  Özgür Canbay²  Aysun Ankay Yılbaş²  Serdar Tekgül³ 

[1] Hacettepe University Faculty of Medicine, Department of Urology;Hacettepe University Faculty of Medicine, Department of Anesthesiology and Reanimation;Hacettepe University Faculty of Medicine, Department of Urology, Division of Pediatric Urology

关键词: Percutaneous nephrolithotomy;    Local anesthetic;    Pain;    Patient satisfaction with pain management;   

DOI  :  10.4274/jus.galenos.2019.2441

学科分类：社会科学、人文和艺术（综合）

来源: Galenos Yayinevi

【 摘 要 】

Objective: Percutaneous nephrolithotomy is not pain-free due to the procedure itself and presence of post-operative diversion. Our purpose was to evaluate the efficacy of local anesthetic infiltration in postoperative analgesia in children who undergo percutaneous nephrolithotomy. Materials and Methods: Forty-two renal units were included to our study. Local anesthesia group received prilocaine and bupivacaine injection through the percutaneous access line where patients received no local anesthetic constituted the control group. All patients received the same anesthesia protocol and 15 mg/kg paracetamol infusion postoperatively four times a day. Post-operative pain scores of patients were evaluated by using FLACC-FPS scales. Patients with pain scores ≥4 received meperidine 1 mg/kg as rescue analgesic. Results: Between the two groups there was no significant difference in pain scores except 24th hour, where the local anesthesia group found to be favorable. The need (p=0.040) and total number (p=0.018) of rescue analgesic was significantly less in local anesthesia group. According to need for repetitive analgesic dose, the local anesthesia group was founded to be more advantageous (p=0.017). The postoperative analgesic satisfaction of parents’ was favorable in local anesthesia group (p=0.002). Conclusion: In pediatric percutaneous nephrolithotomy, preemptive local anesthetic infiltration reduces postoperative pain, the need for analgesics, the number of analgesics used and also improves patient comfort and analgesic satisfaction.

【 授权许可】

CC BY-NC-ND