Cited 0 times in Scipus Cited Count

Analgesic effect of trigger point injection and EMLA for shoulder pain in patients undergoing total laparoscopic hysterectomy: A randomized controlled study

DC Field Value Language
dc.contributor.authorKim, JE-
dc.contributor.authorKim, JY-
dc.contributor.authorLee, HS-
dc.contributor.authorSeok, S-
dc.contributor.authorKil, HK-
dc.date.accessioned2020-10-21T07:20:53Z-
dc.date.available2020-10-21T07:20:53Z-
dc.date.issued2019-
dc.identifier.issn0025-7974-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/18819-
dc.description.abstractBACKGROUD: The purpose of this study was to evaluate the effects of trigger point injection (TPI) and eutectic mixture local anesthetics (EMLA) cream on the postoperative shoulder pain in patients undergoing total laparoscopic hysterectomy.
METHODS: In this randomized, single-blinded, and controlled study, total 75 patients were randomly allocated to TPI group (n = 25), EMLA group (n = 25), and control group (n = 25). TPI group received TPIs with 2 mL of 0.2% ropivacaine, and EMLA group received an occlusive dressing with EMLA cream 2 g on both shoulders. Overall, abdominal, and shoulder pains were evaluated at rest and in motion on postoperative day 3.
RESULTS: The incidence of shoulder pain was significantly reduced in EMLA group (56%) compared to control (88%) or TPI (88%) groups (P = .025 in both): the severity of shoulder pain was mitigated in EMLA and TPI groups compared to control group (P < .001, each). Consequently, the overall pain decreased in EMLA group and TPI group (P = .023). The patients with exercise habit (n = 31) showed lower incidence of pain than patients without exercise habit (n = 26) (P = .002, P = .005, and P = .037 in overall, abdominal, and shoulder pain, respectively). TPI or EMLA treatments decreased shoulder pain irrespective of exercise habit (P = .001 and P < .001, respectively), but decreased overall pain only in patients without exercise habit (P = .019). Lastly, EMLA lowered overall pain score at the time of first analgesic request in ward compared to control group (P = .02).
CONCLUSIONS: TPI and EMLA with occlusive dressing effectively reduced the shoulder pain after total laparoscopic hysterectomy.
-
dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAnesthetics, Combined-
dc.subject.MESHAnesthetics, Local-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHHysterectomy-
dc.subject.MESHInjections-
dc.subject.MESHLaparoscopy-
dc.subject.MESHLidocaine, Prilocaine Drug Combination-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOcclusive Dressings-
dc.subject.MESHPain, Postoperative-
dc.subject.MESHRopivacaine-
dc.subject.MESHShoulder Pain-
dc.subject.MESHSingle-Blind Method-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHTrigger Points-
dc.titleAnalgesic effect of trigger point injection and EMLA for shoulder pain in patients undergoing total laparoscopic hysterectomy: A randomized controlled study-
dc.typeArticle-
dc.identifier.pmid30633218-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336620/-
dc.subject.keywordEMLA-
dc.subject.keywordlaparoscopy-
dc.subject.keywordshoulder pain-
dc.subject.keywordtrigger points-
dc.contributor.affiliatedAuthor김, 지은-
dc.type.localJournal Papers-
dc.identifier.doi10.1097/MD.0000000000014087-
dc.citation.titleMedicine-
dc.citation.volume98-
dc.citation.number2-
dc.citation.date2019-
dc.citation.startPagee14087-
dc.citation.endPagee14087-
dc.identifier.bibliographicCitationMedicine, 98(2). : e14087-e14087, 2019-
dc.identifier.eissn1536-5964-
dc.relation.journalidJ000257974-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
Files in This Item:
30633218.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse