Low concentrations of lidocaine for inguinal hernia repair under local infiltration anaesthesia

被引:13
作者
Song, Yinghan [1 ]
Han, Bing [2 ]
Lei, Wenzhang [1 ]
Kou, Yingli
Liu, Yang [2 ,3 ]
Gong, Yanping [3 ]
Ma, Dongyang [3 ]
机构
[1] Sichuan Univ, West China Hosp, Dept Gastrointestinal Surg, Chengdu 610041, Sichuan, Peoples R China
[2] Sichuan Univ, West China Hosp, Dept Thorac Surg, Chengdu 610041, Sichuan, Peoples R China
[3] Sichuan Univ, West China Hosp, Dept Surg, Chengdu 610041, Sichuan, Peoples R China
关键词
Lidocaine; concentration; hernia; inguinal; anaesthesia; local; GENERAL-ANESTHESIA; LIGNOCAINE;
D O I
10.1177/0300060513476586
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Objective: A randomized, double-blind, prospective, controlled study to determine the lowest concentration of lidocaine that provides satisfactory anaesthesia and analgesia for inguinal hernia repair. Methods: Patients with inguinal hernia undergoing tension-free mesh repair under local infiltration anaesthesia were randomized to receive 0.25% (Group A), 0.33% (Group B) or 0.5% (Group C) lidocaine. Total dose and volume of lidocaine consumed and intraoperative visual analogue scale (VAS) pain scores were recorded for each patient. Each patient's degree of satisfaction and the incidence of anaesthesia-and procedure-related complications were recorded and assessed. Results: A total of 120 patients were randomized. There were no between-group differences in median VAS scores, degree of satisfaction, volume of lidocaine consumed or incidence of complications. Patients in group A consumed significantly lower doses of lidocaine than those in both other groups. Conclusions: The mean dose of lidocaine consumed in group A was significantly lower but exerted similar efficacy to that in the other groups, and may lead to a lower risk of local anaesthetic toxicity.
引用
收藏
页码:371 / 377
页数:7
相关论文
共 30 条
[1]   LOCAL-ANESTHESIA FOR INGUINAL-HERNIA REPAIR STEP-BY-STEP PROCEDURE [J].
AMID, PK ;
SHULMAN, AG ;
LICHTENSTEIN, IL .
ANNALS OF SURGERY, 1994, 220 (06) :735-737
[2]   Combined ilioinguinal blockade and local infiltration anaesthesia for groin hernia repair - a double-blind randomized study [J].
Andersen, FH ;
Nielsen, K ;
Kehlet, H .
BRITISH JOURNAL OF ANAESTHESIA, 2005, 94 (04) :520-523
[3]   Comparison of buffered and unbuffered local anaesthesia for inguinal hernia repair: A prospective study [J].
Ball E.L. ;
Sanjay P. ;
Woodward A. .
Hernia, 2006, 10 (2) :175-178
[4]   Comparison of three concentrations of simplex lidocaine in local anesthesia for inguinal hernia mesh-repairs [J].
Ban, L. -J. ;
Lei, W. -Z. ;
Liu, Y. ;
Gong, Y. -P. ;
Zeng, Y. ;
Yang, L. ;
Zhang, W. .
HERNIA, 2011, 15 (05) :617-620
[5]   Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study [J].
Bay-Nielsen, M ;
Kehlet, H ;
Strand, L ;
Malmstrom, J ;
Andersen, FH ;
Wara, P ;
Juul, P ;
Callesen, T .
LANCET, 2001, 358 (9288) :1124-1128
[6]  
Callesen T, 1998, BRIT J SURG, V85, P1412
[7]   PHARMACOLOGY OF LOCAL-ANESTHETIC AGENTS [J].
COVINO, BG .
BRITISH JOURNAL OF ANAESTHESIA, 1986, 58 (07) :701-716
[8]   Three concentrations of levobupivacaine for ilioinguinal/iliohypogastric nerve block in ambulatory pediatric surgery [J].
Disma, Nicola ;
Tuo, Pietro ;
Pellegrino, Sarah ;
Astuto, Marinella .
JOURNAL OF CLINICAL ANESTHESIA, 2009, 21 (06) :389-393
[9]  
Do Daihung Vu, 2007, Adv Dermatol, V23, P33, DOI 10.1016/j.yadr.2007.07.004
[10]  
Erdem E, 2003, AMBUL SURG, V10, P128