Yıl 2019, Cilt 5 , Sayı 5, Sayfalar 787 - 792 2019-09-04

Postoperative analgesic effect of bupivacaine infiltration following lumbar disc surgery

Tamer TUNÇKALE [1] , Numan KARAARSLAN [2] , Melek TUNÇKALE [3] , Tezcan ÇALIŞKAN [4]


Objectives: Effectiveness of 0.5% bupivacaine administered onto dura, under lumbar superficial fascia and subcutaneous tissue on postoperative pain control was analyzed in patients undergoing lumbar microdiscectomy.

Methods: Sixty adult patients scheduled to undergo elective, single-level lumbar discectomy were randomly divided into four groups: the control group (Control), the subcutaneous tissue group (Group C), which received 20 ml of 0.5% bupivacaine in the subcutaenous tissue, the superficial fascia group (Group F), which received 12 ml bupivacaine in the subcutaneous tissue and 8 ml in the space below the lumbar superficial fascia, and the dura group (Group D), which received a total of 20 ml (100 mg) of bupivacaine, consisting of 10 ml in the subcutaneous tissue, 8 ml in the space below the lumbar superficial fascia, and 2 ml on the dura. Visual Analog Scale Values (VAS) on postoperative 0, 15, 30, 45 minutes, at 1, 2, 4, 6, 12 and 24th hour and time of the first analgesic need were evaluated for all patients and recorded.

Results: While mean VAS value measured at min 0 (as soon as the patient awakened) was 2.3 ± 1.2 in Group D; it was 2.7 ± 0.9 in Group C; 2.7 ± 1.0 in Group F and 3.1 ± 0.6 in control group (p = 0.232). At the end of 1th hour, mean VAS value was recorded as 2.8 ± 1.0 in Group D; 3.6 ± 1.5 in Group C; 3.6 ± 1.1 in Group F and 4.4 ± 1.1 in control group (p = 0.005). In Group D, 0.5% bupivacaine administered as 2, 8, 10 ml onto dura, fascia and subcutaneously was detected to provide significantly lower VAS values and significantly longer first analgesic need time.

Conclusions: 0.5% bupivacaine administered onto dura, under lumbar superficial fascia and in subcutaneous tissue was detected to be a simple, effective and safe method in lumbar microdiscectomy operations. 

lumbar microdisectomy, bupivacaine, pain, infiltration analgesia
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Birincil Dil en
Konular Anestezi, Cerrahi, Nörolojik Bilimler
Bölüm Original Article
Yazarlar

Orcid: 0000-0002-4534-0864
Yazar: Tamer TUNÇKALE (Sorumlu Yazar)
Kurum: Department of Neurosurgery, Namık Kemal University School of Medicine, Tekirdağ, Turkey
Ülke: Turkey


Orcid: 0000-0001-5590-0637
Yazar: Numan KARAARSLAN
Kurum: Department of Neurosurgery, Namık Kemal University School of Medicine, Tekirdağ, Turkey
Ülke: Turkey


Orcid: 0000-0002-7777-5993
Yazar: Melek TUNÇKALE
Kurum: Department of Anesthesiology, Tekirdağ State Hospital, Tekirdağ, Turkey
Ülke: Turkey


Orcid: 0000-0001-7735-0584
Yazar: Tezcan ÇALIŞKAN
Kurum: Department of Neurosurgery, Namık Kemal University School of Medicine, Tekirdağ, Turkey
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 4 Eylül 2019

EndNote %0 The European Research Journal Postoperative analgesic effect of bupivacaine infiltration following lumbar disc surgery %A Tamer Tunçkale , Numan Karaarslan , Melek Tunçkale , Tezcan Çalışkan %T Postoperative analgesic effect of bupivacaine infiltration following lumbar disc surgery %D 2019 %J The European Research Journal %P -2149-3189 %V 5 %N 5 %R doi: 10.18621/eurj.413635 %U 10.18621/eurj.413635