Effect of different local anesthetics on analgesia after harvesting grafts from the scalp in burn patients

VernacularTitle:不同局麻药物在烧伤手术患者头部取皮止痛中的效果
Author: Guihong ZHU ; Bin YI ; Qiao GUO ; Ying LAN ; Hongchun WANG ; Jian CHEN ; Xiaolu LI ; Jian CUI
Publication Type:Journal Article
Keywords: local anesthetics; analgesia; ropivacaine; burn
From: Journal of Regional Anatomy and Operative Surgery 2014;(6):630-631,632
CountryChina
Language:Chinese
Abstract: Objective To investigate the different effect among ropivacaine,bupivacaine,lidocaine on analgesia after harvesting grafts from the scalp in burn patients. Methods 84 patients who need harvesting grafts from the scalp after burn were divided in 4 groups random-ly(n=21). Patients in group C hypodermically injected with saline 200 mL were control,while patients in group R injected with 0. 05% ropi-vacaine 200 mL,group B with 0. 188% bupivacaine,and group L with 0. 1% lidocaine. Motor activity assessment scale( MAAS) and visual analogue scale(VAS) were made before anesthesia(T0) and 20 min,5 h,10 h after awake of patients. VAS were made focus on head and body in part. Vital signs were also monitored and recorded for assessment of security. Results All patients in 4 groups had passed the period of operation safely. Patients in group R have better VAS than other groups. Conclusion Low concentration ropivacaine hypodermically injec-tion of head is helpful to relieve the pain after harvesting grafts from the scalp.