Placebo-controlled trial of local anaesthesia for treatment of pain after breast reconstruction

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery

Volumn 43, Issue 6, 2009, Pages 315-319

  Legeby, Mariann ^a   Jurell, Göran ^a   Beausang Linder, Marianne ^a   Olofsson, Christina ^a  

^a KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Analgesic efficacy; Breast reconstruction; Indwelling catheter; Levobupivacaine; Local anaesthesia; Opioid consumption; Placebo controlled; Post operative pain

Indexed keywords

BUPIVACAINE; DRUG DERIVATIVE; LEVOBUPIVACAINE; MORPHINE; PARACETAMOL;

ADULT; AGED; ARTICLE; BREAST RECONSTRUCTION; BREAST TUMOR; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FEMALE; FOLLOW UP; HOSPITALIZATION; HUMAN; INDWELLING CATHETER; LENGTH OF STAY; LOCAL ANESTHESIA; MASTECTOMY; METHODOLOGY; MIDDLE AGED; NONPARAMETRIC TEST; ORAL DRUG ADMINISTRATION; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTOPERATIVE PAIN; PROBABILITY; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; TREATMENT OUTCOME;

ACETAMINOPHEN; ADMINISTRATION, ORAL; ADULT; AGED; ANALGESIA, PATIENT-CONTROLLED; ANESTHESIA, LOCAL; BREAST NEOPLASMS; BUPIVACAINE; CATHETERS, INDWELLING; DOUBLE-BLIND METHOD; FEMALE; FOLLOW-UP STUDIES; HUMANS; LENGTH OF STAY; MAMMAPLASTY; MASTECTOMY; MIDDLE AGED; MORPHINE; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; PROBABILITY; PROSPECTIVE STUDIES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; STATISTICS, NONPARAMETRIC; TREATMENT OUTCOME;

EID: 72649083031     PISSN: 02844311     EISSN: 16512073     Source Type: Journal    
DOI: 10.1080/02844310903259108     Document Type: Article

References (15)

1. Legeby M, Segerdahl M, Sandelin K, Wickman M, .Ostman K, Olofsson Ch. Immediate reconstruction in breast cancer surgery requires intensive post-operative pain treatment but the effects of axillary dissection may be more predictive of chronic pain. Breast 2002;/11:/156-62.
2. Legeby M, Sandelin K, Wickman M, Olofsson C. Analgesic efficacy of diclofenac in combination with morphine and paracetamol after mastectomy and immediate breast reconstruction. Acta Anaestesiol Scand 2005;/49:/1360-6.
3. Schneider MS. Pain reduction in breast augmentation using methocarbamol. Aesthetic Plast Surg 1997;/21:/23-4.
4. Pacik PT, Werner C, Jackson N, Lobsitz C. Pain control in mammaplasty: the use of indwelling catheters in 200 consecutive patients. Plast Reconstr Surg 2003;/111:/2090-6.
5. Parsa AA, Soon CW, Parsa FD. The use of celecoxib for reduction of pain after subpectoral breast augmentation. Aesthetic Plast Surg 2005;/29:/441-4.
6. Mahabir RC, Peterson BD, Scott Williamson J, Valnicek SM, Williamson DG, East WE. Locally administered ketorolac and bupivacaine for control of postoperative pain in breast augmentation patients. Plast Reconstr Surg 2004;/ 114:/1910-6.
7. Lu L, Fine NA. The efficacy of continuous local anesthetic infiltration in breast surgery: reduction in mammaplasty and reconstruction. Plast Reconstr Surg 2005;/115:/1927-36.
8. Baroody M, Tameo MN, Dabb RW. Efficacy of the pain pump catheter in immediate autologous breast reconstruction. Plast Reconstr Surg 2004;/114:/895-8.
9. Schell SR. Patients outcomes after axillary lymph node dissection for breast cancer: use of postoperative continuous local anesthesia infusion. J Surg Res 2006;/134:/124-32.
10. Losken A, Parris JJ, Douglas TD, Codner MA. Use of the infusion pain pump following transverse rectus abdominis muscle flap breast reconstruction. Ann Plast Surg 2005;/54:/ 479-482
11. Turan Z, Sandelin K. Local infiltration of anaesthesia with subpectoral indwelling catheters after immediate breast reconstruction with implants: a pilot study. Scand J Plast Reconstr Surg Hand Surg 2006;/40:/136-9.
12. Metaxotos NG, Asplund O, Hayes M. The efficacy of bupivacaine with adrenaline in reducing pain and bleeding associated with breast reduction: a prospective trial. Br J Plast Surg 1999;/52:/290-3.
13. Rosaeg OP, Bell M, Cicutti NJ, Dennehy KC, Lui AC, Krepski B. Pre-incision infiltration with lidocaine reduces pain and opioid consumption after reduction mammoplasty. Reg Anesth Pain Med 1998;/23:/575-9.
14. Holmgren R, Tarpila E. Intermittent injection of bupivacaine into the margin or the cavity after reduction mammaplasty. Scand J Plast Reconstr Surg Hand Surg 2005;/39:/ 218-221
15. Rawal N, Gupta A, Helsing M, Grell K, Allvin R. Pain relief following breast augmentation surgery: a comparison between incisional patient-controlled regional analgesia and traditional oral analgesia. Eur J Anaesthesiol 2006;/23:/ 1010-1017