Clinical significance of ropivacaine local infiltration for postoperative analgesia after total laparoscopic radical gastrectomy in elderly patients

• Published in: Zhong hua yi xue za zhi Vol. 94; no. 28; p. 2188
• Main Authors: Huang, Zhengjie, Xie, Yongjin, You, Jun, Xu, Lin, Chen, Yueda, Chen, Baisheng, Wei, Bin, Luo, Qi
• Format: Journal Article
• Language: Chinese
• Published: China 22.07.2014
• Subjects: Aged; Amides - administration & dosage; Amides - therapeutic use; Analgesia; Analgesics - administration & dosage; Analgesics - therapeutic use; Gastrectomy; Humans; Laparoscopy; Pain Management; Pain Measurement; Pain, Postoperative - drug therapy; Treatment Outcome
• ISSN: 0376-2491
• DOI: 10.3760/cma.j.issn.0376-2491.2014.28.007

To explore the analgesic effects and postoperative recovery of ropivacaine incision infiltration in elderly patients after total laparoscopic radical gastrectomy. The clinical data were obtained prospectively from 61 elderly patients ( ≥ 65y) undergoing traditional total laparoscopic radical gastrectomy under standard general anesthesia at our department during January 2012 and September 2013. After surgery, they were randomly double-blindly divided into 3 groups: local infiltration of ropivacaine group (0.5% ropivacaine incision infiltration, 40 ml, n = 22), local infiltration of sodium chloride group (0.9% sodium chloride injection incision infiltration, 40 ml, n = 20) and control group (no analgesic, n = 19). The intensity of postoperative pain was evaluated by numeric rating scale (NRS). And 10 mg of morphine was administered intramuscularly as rescue medication when NRS exceeded 4.NRS, cases on remedy analgesia and associated side effects were observed and recorded after 6 h postoperatively. A comparativ