MMed, Faculty of Health Sciences, University of the Witwatersrand / Postoperative pain is prevalent and not optimally managed in most patients. Pain can
lead to adverse emotional and systemic consequences.
Numerous device orientated studies have been done in other countries looking at the
effect of infusions of local anaesthetic at the wound site postoperatively via an
elastomeric pump. There have however been no similar studies done in South Africa.
The aims of this study was to assess whether the use of an incisional wound catheter
and 0.39% bupivacaine infusion in patients post total abdominal hysterectomy for a
30 hour period will decrease opioid requirements compared to a control group having
only systemic analgesia. Pain intensities were also documented at set observation
periods.
The opioid requirements between the 2 groups were comparable however the
participants who had the bupivacaine infusion in their incisional site had less pain
intensity scores until 6 hours post operation and had less pain intensity on movement
at 30 hours post operation.
A bupivacaine infusion in the incisional site decreases pain intensity in the above
mentioned parameters but does not reduce opioid requirements.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:wits/oai:wiredspace.wits.ac.za:10539/8828 |
| Date | 12 October 2010 |
| Creators | Russell, Samantha Lee |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | application/pdf |
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