WJPPS Citation

Login

Search

News & Updation

  • Updated Version
  • WJPPS introducing updated version of OSTS (online submission and tracking system), which have dedicated control panel for both author and reviewer. Using this control panel author can submit manuscript
  • Call for Paper
    • WJPPS  Invited to submit your valuable manuscripts for Coming Issue.
  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.
  •  
  • New Impact Factor
  • WJPPS Impact Factor has been Increased to 8.025 for Year 2024.

  • WJPPS: MARCH ISSUE PUBLISHED
  • March Issue has been successfully launched on 1 March 2024.

  • ICV
  • WJPPS Rank with Index Copernicus Value 84.65 due to high reputation at International Level

  • Scope Indexed
  • WJPPS is indexed in Scope Database based on the recommendation of the Content Selection Committee (CSC).

Abstract

EFFICACY OF CONTINUOUS WOUND CATHETERS DELIVERING LOCAL ANESTHETIC FOR POSTOPERATIVE ANALGESIA FOR SCOLIOSIS SURGERY. CASE REPORT

Micaela Barbosa L. Sales – MD, *Luiz Eduardo Imbelloni – MD, PhD, Bruno Brasileiro – MD, Julimar Nogueira – MD and Ronaldo de Lucena Farias – MD

ABSTRACT

Background: Scoliosis is an abnormal condition on the spinal curvature that affects 2-3% of the population and surgical treatment is associated with elevated levels of pain. The objective of this report is to describe the continuous wound infiltration system usage to manage postoperative scoliosis pain. Case Report: Female patient, 21 years old, 60 kg, ASA I, admitted for correcting thoracolumbar scoliosis, Cobb angle of 60 degrees. A total venous anesthesia with monitoring of sensory and motor evoked potentials for osteotomy in 10 levels (T5-L3) was performed. At the end of the procedure, two multiperforated catheters were implanted in the subfascial region by the surgeon. It was administered 10 mL of levobupivacaine 0.2% and the catheters were connected to an elastomeric pump containing 270 mL of levobupivacaine 0.2% with flow rate of 4 mL/hr. The quality of the analgesia was measured through the numerical verbal scale of pain (0-10), after 6 hours value 6, 12 hours value 4, 24 hours value 2, 48 hours value 0 and 72 hours value 0. There was no need for rescue with morphine. Both catheters were removed after 72 hours. Conclusion: An alternative technique to traditional methods of postoperative analgesia is the insertion of multiperforated catheters attached to the elastomeric pump, which allows the infusion of local anesthetic into the surgical wound, significantly reducing the pain and the use of morphine. The report suggests that this is a simple, well-tolerated technique, devoid of significant side effects and effective in the control of postoperative scoliosis pain.

Keywords: Acute pain; Local anesthetics; Infiltration anesthesia; Regional anesthesia.


[Download Article]     [Download Certifiate]

Call for Paper

World Journal of Pharmacy and Pharmaceutical Sciences (WJPPS)
Read More

Online Submission

World Journal of Pharmacy and Pharmaceutical Sciences (WJPPS)
Read More

Email & SMS Alert

World Journal of Pharmacy and Pharmaceutical Sciences (WJPPS)
Read More