Volume 25, Number 4 (Monthly-June 2014)                   J Urmia Univ Med Sci 2014, 25(4): 319-326 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mashhadinejad H, Tabari M, Hooshmandi F, Zare E. COMPARISON OF SCALP INFILTRATION WITH BUPIVACAINE AND INTRAVENOUS MORPHINE ON POSTOPERATIVE PAIN IN PATIENTS UNDERGOING CRANIOTOMY. J Urmia Univ Med Sci. 2014; 25 (4) :319-326
URL: http://umj.umsu.ac.ir/article-1-2278-en.html

Assistant Professor of Anesthesiology Department of Anesthesiology, Ghaem Hospital, Mashhad University of Medical Sciences , tabarim@mums.ac.ir
Abstract:   (3491 Views)

  

 Background & Aims: Post Craniotomy surgery headache is classified as moderate to severe pain. Objective of this study was comparison of Bupivacaine scalp infiltration and intravenous morphine on postoperative headache in patients undergoing craniotomy.

 Materials & Methods: This study was a double blind clinical trial set up at Mashhad University of Medical Science. Sample size was 70 patients (block randomization) who underwent elective supra tentorial craniotomy and patients were divided into two groups of control and case (sub-dermal local infiltration of Bupivacaine %0.25 in incision area versus parenteral administration of morphine). Then we measured Visual Analog Scale (VAS) at 0, 2, 4, 6, 8, 12 and 24 hours after intervention.

 Results: According to VAS, at beginning of the study, moderate pain was observed more while severe pain was observed less in the case group (p=0.003) at 2 and 4 hours after intervention most patients in case group had mild pain versus moderate pain in control group (p=0.00). At 6 and 12 hour after intervention, mild and moderate pain were significantly more present in Bupivacaine group (p=0.009 and 0.003, respectively).

 Conclusion: Sub-dermal local infiltration of Bupivacaine decrease post craniotomy severe headache in the first 12 hours after surgery.

 

  SOURCE: URMIA MED J 2014: 25(4): 326 ISSN: 1027-3727

Full-Text [PDF 235 kb]   (565 Downloads)    
Type of Study: Research | Subject: آناتومی
Received: 2014/06/23 | Accepted: 2014/06/23 | Published: 2014/06/23

Add your comments about this article : Your username or email:
Write the security code in the box

Send email to the article author


© 2015 All Rights Reserved | URMIA MEDICAL JOURNAL

Designed & Developed by : Yektaweb