Abstract | INTRODUCTION AND HYPOTHESIS: METHODS: This was a randomized controlled trial. Thirty-eight consecutive women who underwent robotic surgeries for pelvic organ prolapse (sacrocolpopexy with or without subtotal hysterectomy) were randomly assigned to receive general anesthesia (control group, n = 20) or combined general with spinal anesthesia (study group, n = 18). Pain scores were assessed at rest and while coughing using a visual analog scale (VAS) 0-10. Dosage of analgesic medication consumption was retrieved from patients' charts. RESULTS: There were no statistically significant differences between the two groups with respect to demographic data and intraoperative hemodynamic parameters. In the postanesthesia care unit (PACU) mean total IV morphine and meperidine dosages were significantly lower for the study than the control group (0.33 vs 7.59 mg, 1.39 vs 27.89 mg, respectively, P < 0.003, <0.001, respectively). In addition, a significantly lower percentage of patients belonging to the study group demanded analgesic medications while in the PACU (33 vs 53 %, P = 0.042). Pain scores in the PACU and during postoperative day 1 were significantly lower in the study group than in the control group (delta VAS 1.9 vs 3.0, P = 0.04). Satisfaction with pain treatment among both patients and nurses was significantly higher in the study group. CONCLUSIONS:
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Authors | Dror Segal, Nibal Awad, Hawash Nasir, Susana Mustafa, Lior Lowenstein |
Journal | International urogynecology journal
(Int Urogynecol J)
Vol. 25
Issue 3
Pg. 369-74
(Mar 2014)
ISSN: 1433-3023 [Electronic] England |
PMID | 23928955
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Chemical References |
- Analgesics, Opioid
- Anesthetics, Inhalation
- Anesthetics, Intravenous
- Morphine
- Meperidine
- Isoflurane
- Fentanyl
- Propofol
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Topics |
- Adult
- Aged
- Analgesics, Opioid
(administration & dosage)
- Anesthesia, General
- Anesthesia, Spinal
- Anesthetics, Inhalation
- Anesthetics, Intravenous
- Attitude of Health Personnel
- Female
- Fentanyl
- Gynecologic Surgical Procedures
(adverse effects, methods)
- Humans
- Isoflurane
- Laparoscopy
(adverse effects, methods)
- Meperidine
(administration & dosage)
- Middle Aged
- Morphine
(administration & dosage)
- Pain Measurement
- Pain, Postoperative
(etiology, prevention & control)
- Patient Satisfaction
- Postoperative Care
- Propofol
- Robotics
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