SciELO - Scientific Electronic Library Online

 
vol.55 issue2Importance of critical events training for anesthesiology residents: experience with computer simulatorComparative study of 0.5% racemic bupivacaine versus enantiomeric mixture (S75-R25) of 0.5% bupivacaine in brachial plexus block for orthopedic surgery author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Brasileira de Anestesiologia

Print version ISSN 0034-7094

Abstract

BELZARENA, Sérgio D.; ALVES, Mozart T.; CUCCO, Máximo L. D.  and  D'AVILA, Vanius D.. Multimodal analgesia in outpatient videolaparoscopic gynecologic surgery: comparison between parecoxib and tenoxicam. Rev. Bras. Anestesiol. [online]. 2005, vol.55, n.2, pp. 158-164. ISSN 0034-7094.  http://dx.doi.org/10.1590/S0034-70942005000200002.

BACKGROUND AND OBJECTIVES: The quality of postoperative analgesia in patients submitted to outpatient videolaparoscopic gynecologic surgery was evaluated by comparing the effects of intravenous parecoxib and tenoxicam in a double-blind study. METHODS: Participated in this prospective study 60 patients who were randomly divided into two groups. All patients were premedicated with midazolam and one group (P) received 40 mg parecoxib before surgery. The other group (T) received 20 mg tenoxicam in the same manner. Spinal anesthesia with bupivacaine and sufentanil was administered for videolaparoscopic gynecologic procedures. Postoperative analgesia was evaluated using verbal and visual scales. Pain site (incisional, visceral or shoulder), supplemental analgesics and side effects were recorded, in addition to patients' satisfaction with the technique. RESULTS: Analgesic quality was excellent with 76% Group P patients and 83% group T patients with no postoperative pain complaint or analgesic request. There were no statistical differences between groups in all evaluated criteria. Pruritus, although brief and mild, was the primary side effect. All patients were satisfied or very satisfied with the technique. CONCLUSIONS: Multimodal analgesia with subarachnoid local anesthetic and opioid associated to intravenous NSAID produces excellent postoperative pain relief with few adverse effects in outpatient videolaparoscopic gynecologic surgery. The choice of the NSAID seems to be of minor importance for such results.

Keywords : ANALGESICS, [Anti-inflammatory non hormonal: parecoxib]; ANALGESICS, [Anti-inflammatory non hormonal: tenoxicam]; ANESTHESIA [Spinal block]; SURGERY [Outpatient].

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · pdf in English | Portuguese