Topical levobupivacaine efficacy in pain control after functional endoscopic sinus surgery.

Abstract

OBJECTIVE:

The aim of this study was to find out the efficacy of a polyvinyl alcohol (PVA) sponge (Merocel Kennedy; Medtronic Xomed, Jacksonville, Florida) sinus pack soaked with levobupivacaine hydrochloride to control postoperative pain and analgesic need following functional endoscopic sinus surgery (FESS).

STUDY DESIGN:

The study was designed as a prospective, double-blind, randomized, controlled study. Forty-one patients who underwent FESS were included in the analysis. Setting A tertiary referral hospital in Turkey.

MATERIALS AND METHODS:

Patients who underwent FESS were divided into 2 groups. The PVA sponge sinus packs were soaked with 5 mL of levobupivacaine hydrochloride (chirocaine 25 mg/10 mL; Abbott, Nycomed Pharma AS, Elverum, Norway) in group I and with 5 mL of saline in group II.

MAIN OUTCOME MEASURES:

Postoperative pain levels were recorded using a visual analog scale (VAS score, 0-100) at 30 minutes and 1, 2, 8, 12, and 24 hours.

RESULTS:

There were no statistically significant differences between groups regarding age, sex, and American Society of Anesthesiologists status. Postoperative VAS values at 30 minutes and 1, 2, 8, 12, and 24 hours were significantly lower in group I than in group II (P < .05). Supplemental analgesia amount was significantly lower in group I than in group II (P = .003).

CONCLUSION:

Using levobupivacaine-soaked PVA sponge sinus packs after FESS is an effective, easy, and quick method to control postoperative pain, and it improves patient comfort and tolerability.

• Authors: Süleyman Yilmaz, Sahnur Yildizbas, Ender Güçlü, Hüseyin Yaman, Gülbin Yalçin Sezen
• Journal: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (Otolaryngol Head Neck Surg) Vol. 149 Issue 5 Pg. 777-81 (Nov 2013) ISSN: 1097-6817 [Electronic] England
• PMID: 24005134 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Chemical References

• Anesthetics, Local
• Levobupivacaine
• Bupivacaine

Topics

• Administration, Topical
• Adult
• Anesthetics, Local (administration & dosage)
• Bupivacaine (administration & dosage, analogs & derivatives)
• Double-Blind Method
• Endoscopy (methods)
• Female
• Follow-Up Studies
• Humans
• Levobupivacaine
• Male
• Middle Aged
• Pain Management (methods)
• Pain, Postoperative (prevention & control)
• Paranasal Sinus Diseases (surgery)
• Postoperative Period
• Prospective Studies
• Treatment Outcome
• Young Adult