COMPARISON OF INTERPLEURAL VERSUS INTRAVENOUS MORPHINE FOR PAIN RELIEF AFTER VIDEO-ASSISTED THORACOSCOPIC SURGERY

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DABIR SHIDEH; PARSA TAHEREH; HEDAYARI ALI REZA; BEHGAM SHADMEHR MOHAMAD; SAGHABI SEYED REZA; RADPEY BADIOZAMAN

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2012 | Volume:21 | Issue:SUPPLEMENT 1 Page(s): 121-129

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Title

COMPARISON OF INTERPLEURAL VERSUS INTRAVENOUS MORPHINE FOR PAIN RELIEF AFTER VIDEO-ASSISTED THORACOSCOPIC SURGERY

Author(s)

Keywords

VIDEO-ASSISTED THORACOSCOPIC SURGERYQ2

INTERPLEURAL ANALGESIAQ2

MORPHINEQ3

PAINQ2

Abstract

Background and purpose: VIDEO-ASSISTED THORACOSCOPIC SURGERY (VATS) has been developed as a minimally invasive alternative approach for various diagnostic and therapeutic thoracic operations that previously required open thoracotomy. Postoperative PAIN is less after VATS than after conventional thoracic surgery, but is still significant. The purpose of this randomized double blind clinical trial was to compare the effect of interpleural MORPHINE analgesia with traditional intravenous MORPHINE administration on PAIN and supplemental analgesic usage after VATS.Materials and methods: 30 American Society of Anesthesiologists classes I and II patients who had VATS under general anesthesia were randomly divided into two equal groups. At the completion of operation, a catheter was placed in the pleural space under thoracoscopic vision. Patients received a single bolus of 0.1 mg.kg-1 of MORPHINE either interpleurally or intravenously. During the first postoperative 8 hours, PAIN score at rest and on coughing, supplemental analgesic requirements, mean arterial pressure, heart rate, arterial blood oxygen saturation, degree of sedation, and side effects were monitored every one hour. The PAIN severity was evaluated by visual analogue PAIN scales (VAS, 0-10).Results: No statistically significant difference was observed between the groups in relation to PAIN intensity, hemodynamic variables, or side effects during study period.Conclusion: Interpleural MORPHINE did not provide superior analgesia compared with intravenous MORPHINE after thoracoscopic surgery.

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APA: Copy

DABIR, SHIDEH, PARSA, TAHEREH, HEDAYARI, ALI REZA, BEHGAM SHADMEHR, MOHAMAD, SAGHABI, SEYED REZA, & RADPEY, BADIOZAMAN. (2012). COMPARISON OF INTERPLEURAL VERSUS INTRAVENOUS MORPHINE FOR PAIN RELIEF AFTER VIDEO-ASSISTED THORACOSCOPIC SURGERY. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 21(SUPPLEMENT 1), 121-129. SID. https://sid.ir/paper/44753/en

Vancouver: Copy

DABIR SHIDEH, PARSA TAHEREH, HEDAYARI ALI REZA, BEHGAM SHADMEHR MOHAMAD, SAGHABI SEYED REZA, RADPEY BADIOZAMAN. COMPARISON OF INTERPLEURAL VERSUS INTRAVENOUS MORPHINE FOR PAIN RELIEF AFTER VIDEO-ASSISTED THORACOSCOPIC SURGERY. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2012;21(SUPPLEMENT 1):121-129. Available from: https://sid.ir/paper/44753/en

IEEE: Copy

SHIDEH DABIR, TAHEREH PARSA, ALI REZA HEDAYARI, MOHAMAD BEHGAM SHADMEHR, SEYED REZA SAGHABI, and BADIOZAMAN RADPEY, “COMPARISON OF INTERPLEURAL VERSUS INTRAVENOUS MORPHINE FOR PAIN RELIEF AFTER VIDEO-ASSISTED THORACOSCOPIC SURGERY,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 21, no. SUPPLEMENT 1, pp. 121–129, 2012, [Online]. Available: https://sid.ir/paper/44753/en

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