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Archives of Anesthesiology and Critical Care، جلد ۳، شماره ۳، صفحات ۳۵۴-۳۵۸
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عنوان فارسی |
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چکیده فارسی مقاله |
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کلیدواژههای فارسی مقاله |
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عنوان انگلیسی |
The Effect of Intravenous Lidocaine Infusion on Post-Operative Pain after Percutaneous Nephro Lithotomy: A Randomized Clinical Trial |
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چکیده انگلیسی مقاله |
Background: Percutaneous Nephro Lithotomy (PCNL) is an efficient treatment for complicated, large and staghorn calculi. Optimal pain control has long been a concern for the surgeons and the anesthesiologist. The pivotal aim of this study is to evaluate the effects of intravenous lidocaine infusion on pain levels, sedation score, foley catheter tolerance and level of nausea and vomiting in patients undergoing the procedure. Methods: In a randomized parallel group double blind clinical trial, 60 patients with ASA physical class I candidate for PCNL were enrolled in the study. During the operation, group A patients received 1mg/kg/hr infusion of intravenous lidocaine infusion while group B patients received normal saline infusion as placebo. Results: Patients receiving lidocaine infusion had better foley catheter tolerance compared to the placebo group. Similarly VAS pain scores in the PACU were 2.5 ± 1.7 in group A versus 3.7 ± 1.2 in group B was observed to be higher in the placebo group leading to significant difference. (p= 0.03) One hour after surgery 4 (23%) and 26 (87%) of the patients in group A were drowsy and alert, while the results in group B were 13 (77%) and 6 (20%) respectively. Conclusion : The results of our study demonstrates significant difference in sedation score (15 minutes and one hour after surgery) and foley catheter tolerance in patients who received lidocaine infusion through PCNL surgery. In addition, patients receiving lidocaine infusion convey better pain scores after surgery. |
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کلیدواژههای انگلیسی مقاله |
acute pain,lidocaine,post-operative,percutaneous nephrostomy |
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نویسندگان مقاله |
غلامرضا موثقی | gholamreza movasaghi iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
محمودرضا محقق دولت آبادی | mahmoudreza mohaghegh dolatabadi iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
فاطمه سادات مصطفوی مبشر | fatemeh sadat mostafavi mobasher iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
ولی اله حسنی | valiolah hasani iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
مسعود ghorbanlo | masoud ghorbanlo iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
مهرداد مصباح کیایی | mehrdad mesbah kiaee iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
زهرا سادات کلینی | zahra sadat koleini iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
گیتی فتوحی | giti fotohi iran university of medical sciences
سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
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نشانی اینترنتی |
http://aacc.tums.ac.ir/index.php/aacc/article/view/125 |
فایل مقاله |
اشکال در دسترسی به فایل - ./files/site1/rds_journals/371/article-371-409116.pdf |
کد مقاله (doi) |
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زبان مقاله منتشر شده |
en |
موضوعات مقاله منتشر شده |
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نوع مقاله منتشر شده |
Research Article(s) |
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