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Abstract:
Objective: To develop a highly painless and effective form of anaesthesia for ovarian cystectomy. Methods: Seventy-two ovarian cystectomy patients were recruited, from August 2012 to July 2015. from The Second Affiliated Hospital. School of Medicine, Xi 'an Jiaotong University. China. They were randomly divided into the treatment group (n = 36) and the control group (n = 36) in a double-blinded prospective study. The patients in the control group were subjected to the regular rapid induction of anaesthesia, while those in the treatment group were treated with lidocaine-prilocaine cream (EMLA) 5 minutes (n = 6), 10 minutes (n = 6), 15 minutes (n = 6), 20 minutes (n = 6), 25 minutes (n = 6) and 30 minutes (n = 6) before surgery, respectively, combined with the rapid induction of anaesthesia (LCRIA). Then, the data obtained from the patients were recorded, including haemodynamic fluctuations, tube tolerance time, sore throat and throat discomfort. During the procedure. all the patients were told to score the pain intensity according to the visual analogue scale (VAS) as described. Results: When extubation was performed, the diastolic blood pressure (68.53 +/- 5.64 mmHg versus 74.43 +/- 5.82 mmHg), systolic blood pressure (112.43 +/- 3.24 mmHg versus 123.04 +/- 5.32 mmHg), mean arterial pressure (81.23 +/- 5.03 mmHg versus 86.43 +/- 5.54 mmHg) and heart rate (87.43 +/- 4.54 times/minute versus 96.32 +/- 5.11 times/minute) of the patients in the treatment group increased significantly (p < 0.05). but were lower than those in the control group. The endotracheal tube tolerance time of the patients in the treatment group was significantly longer (p < 0.05) than that of those in the control group (13.34 +/- 2.43 minutes versus 10.03 +/- 1.84 minutes). The incidence of sore throat (5.41% versus 21.62%) and pharyngeal discomfort (8.11% versus 35.14%) in the treatment group was significantly lower (p < 0.05) than that in the control group. When comparing the VAS pain scores, the patients who had been treated with lidocaine-prilocaine cream 20 minutes before the surgery (3.2 +/- 0.56 minutes) suffered from significantly less pain (p < 0.05) than those in the control group (5.6 +/- 1.74 minutes), and the treatment group experienced the least pain. Conclusion: The application of LCRIA can effectively reduce pain, relieve the haemodynamic fluctuations caused by extubation stress reaction during ovarian cystectomy, enhance tolerance to the endotracheal tube, and reduce the incidence of sore throat and pharyngeal discomfort.
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WEST INDIAN MEDICAL JOURNAL
ISSN: 2309-5830
Year: 2016
Issue: 4
Volume: 65
Page: 637-642
0 . 2 2 4
JCR@2016
0 . 1 7 1
JCR@2020
ESI Discipline: CLINICAL MEDICINE;
ESI HC Threshold:158
JCR Journal Grade:4
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WoS CC Cited Count: 0
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ESI Highly Cited Papers on the List: 0 Unfold All
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30 Days PV: 3
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