التفاصيل البيبلوغرافية
| العنوان: |
Inferior Alveolar Plus Buccal Nerve Block Decreases Postoperative Pain Scores at Buccal Mucosal Graft Harvest Site: A Retrospective Analysis. |
| المؤلفون: |
Tarigopula, Vivek, Mandal, Swarnendu, Rohith, Gorrepati, Gaur, Abhay S., Das, Manoj K. |
| المصدر: |
Urology Research & Practice; Sep2023, Vol. 49 Issue 5, p329-333, 5p |
| مصطلحات موضوعية: |
URETHRA surgery, LIDOCAINE, URETHRA stricture, BUPIVACAINE, DEXAMETHASONE, ADRENALINE, FOOD consumption, ACETAMINOPHEN, NERVE block, RETROSPECTIVE studies, CASE-control method, VISUAL analog scale, ACQUISITION of data, TRIGEMINAL nerve, MANDIBULAR nerve, AUTOGRAFTS, COMPARATIVE studies, MEDICAL records, DESCRIPTIVE statistics, ORAL mucosa, OPIOID analgesics, DATA analysis software, POSTOPERATIVE pain, PREANESTHETIC medication, HYPOSPADIAS |
| مصطلحات جغرافية: |
INDIA |
| مستخلص: |
Objective: Postoperative pain at buccal mucosal graft (BMG) harvest site hinders the resumption of food intake. We aim to study the effect of inferior-alveolar nerve block plus buccal nerve block (IANB + BNB) on pain scores. Methods: This was a retrospective case--control study performed in a single center from July 2021 to July 2022 (ethics committee approval: T/IM- NF/Ur ology /23/2 7). We performed IANB + BNB with a mixture of 5 mL each of 1% lignocaine and 0.25% bupivacaine and 4 mg dexamethasone, in addition to local infiltration of 2% lignocaine and (1:100 000) epinephrine combination before harvesting BMG. We retrospectively compared the recorded postoperative pain scores using the visual analog scale (VAS) among patients who received and did not receive IANB + BNB. The time for resumption of pain-free diets and postoperative analgesic requirements was compared. Results: The study groups included 20 patients each and were similar in age and graft size. The VAS scores at 0 hours [1.0 (1.25) vs. 2.5 (3.5); P= .043], 6 hours [2.40 (± 0.69) vs. 4.60 (± 0.97); P= .008], 12 hours [2.50 (± 0.97) vs. 4.80 (± 0.92); P= .008], and 24 hours [3.0 (1.25) vs. 4.5 (1.25); P= .002] were better in the intervention arm. However, the pain beyond the second day was similar. The IANB + BNB group resumed solid food quicker, and the cumulative paracetamol dose required was less [8.9 (± 3.03) vs. 16.2 (± 5.06) g; P= .001]. Fewer patients required opioids. Conclusion: Patients who received IANB + BNB had better pain scores during the first 24 hours following surgery and tolerated solid diet quicker. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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