Fuentes-Trejo SL, Brugés-Sánchez EM, Lara-Calzada JF, Krasovsky-Santamarina JE, Rivas-Jiménez J, Encinas-Pórcel CM

Language: Spanish
References: 13
Page: 102-106
PDF size: 220.64 Kb.

ABSTRACT

During surgical procedures, local anesthetics are part of the preventive analgesia to circumvent central and peripheral sensitivity. Adequate control of postoperative pain reduces morbidity and mortality, provides physical and emotional comfort, and inhibits nociceptive reflexes, which allows adequate ventilatory dynamics and early mobilization. Postoperative pain in liposuction is underestimated and up to 27.4% of patients require tramadol. The objectives of this work are to demonstrate that the addition of ropivacaine to infiltration solutions confers greater postoperative analgesia than lidocaine; to compare the duration of the analgesic effect of both local anesthetics and to determine if the use of ropivacaine reduces rescue analgesic medication. 53 patients were included in a prospective cohort; 49% were treated with lidocaine and 51% with ropivacaine. The patients in the ropivacaine group had a lower incidence of postoperative pain (p = 0.039). The appearance of pain for patients treated with lidocaine was started the first 4 hours on and for ropivacaine it was limited from 12 hours (p = 0.024). The number of hours that elapsed before requesting rescue medication was estimated to be 9.87 hours for lidocaine and 11.13 hours for ropivacaine. The addition of ropivacaine to infiltration solutions for body contouring surgery is a promising strategy for postoperative pain management. More studies are required to corroborate this.

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