Pinto GKB, Cañas LL, Carrero SH, Pinto SME

Language: Spanish
References: 20
Page: 386-391
PDF size: 302.46 Kb.

ABSTRACT

Introduction: pain is one of the most common fears in patients scheduled for surgical intervention. Lidocaine has been proposed as an effective medication for pain management; however, the best method (bolus, continuous infusion) or the specific moment for better results has not been identified. Objective: to determine the analgesic effectiveness of intraoperative bolus lidocaine vs. continuous perfusion for postoperative pain control in general surgery. Material and methods: Hospital Angeles Clínica Londres conducted a controlled clinical trial. Scheduled patients were selected only from the general surgery area, whether open or laparoscopic surgeries, under general anesthesia. They were divided into 3 groups according to the method of administration of the lidocaine. Cases with a visual analogue scale (VAS) of less than three were considered to have analgesic effectiveness. Results: 156 patients were evaluated, and analgesic efficacy was achieved in 80.1% of cases. When compared by groups, 100% of cases that received lidocaine had adequate pain control. Conclusion: the use of lidocaine in the intraoperative period allows adequate pain control in patients who undergo surgery, achieving analgesic efficacy compared to those who do not receive it.

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