Local Anesthetic Infiltration During Pediatric Percutaneous Nephrolithotomy Improves Postoperative Analgesia
Journal Title: Journal of Urological Surgery - Year 2019, Vol 6, Issue 3
Abstract
Objective: Percutaneous nephrolithotomy is not pain-free due to the procedure itself and presence of post-operative diversion. Our purpose was to evaluate the efficacy of local anesthetic infiltration in postoperative analgesia in children who undergo percutaneous nephrolithotomy. Materials and Methods: Forty-two renal units were included to our study. Local anesthesia group received prilocaine and bupivacaine injection through the percutaneous access line where patients received no local anesthetic constituted the control group. All patients received the same anesthesia protocol and 15 mg/kg paracetamol infusion postoperatively four times a day. Post-operative pain scores of patients were evaluated by using FLACC-FPS scales. Patients with pain scores ≥4 received meperidine 1 mg/kg as rescue analgesic. Results: Between the two groups there was no significant difference in pain scores except 24th hour, where the local anesthesia group found to be favorable. The need (p=0.040) and total number (p=0.018) of rescue analgesic was significantly less in local anesthesia group. According to need for repetitive analgesic dose, the local anesthesia group was founded to be more advantageous (p=0.017). The postoperative analgesic satisfaction of parents’ was favorable in local anesthesia group (p=0.002). Conclusion: In pediatric percutaneous nephrolithotomy, preemptive local anesthetic infiltration reduces postoperative pain, the need for analgesics, the number of analgesics used and also improves patient comfort and analgesic satisfaction.
Authors and Affiliations
Erman Ceyhan, Fatih İleri, Ali Cansu Bozacı, Hasan Serkan Doğan, Özgür Canbay, Aysun Ankay Yılbaş, Serdar Tekgül
Keywords
Related Articles
- EP ID EP50497
- DOI 10.4274/jus.galenos.2019.2441
- Views 260
- Downloads 0
Kidney Stone Treatment in the Anomalous Kidney with Retrograde Intrarenal Surgery: A Matched Pair Analysis
Objective: To show our retrograde intrarenal surgery (RIRS) experience in anomalous kidney stones and compare its safety and efficiency with normal kidney stones. Materials and Methods: Between 2012 and 2018, patient da...
COVID-19 with a Fatal Outcome in a Kidney Transplant Recipient: Case Report
Coronavirus disease 2019 (COVID-19) has become a pandemic, with a mortality of up to 10% in the general population. Comorbidities such as diabetes and hypertension are common among the elderly. The clinical manifestation...
A Huge Anterior Urethral Diverticulum After Circumcision in a Child: An Unusual Complication of Disposable Plastic Circumcision Device
Urethral diverticula are very rare conditions in boys and may occur due to congenital or acquired reasons. Post-circumcision urethral diverticulum has not been previously reported in the literature. Here, we present a ca...
Can Neutrophil Count, Lymhocyte Count and Neutrophil-tolymphocyte Ratio Predict Fever Following Percutaneous Nephrolithotomy in Patients Without Risk Factors?
Objective: To examine the relationship of neutrophil counts, lymphocyte count and neutrophil-to-lymphocyte ratio (NLR) with postoperative fever in patients undergoing percutaneous nephrolithotomy (PCNL). Materials and M...
Comparison of Stone Scoring Systems in Predicting Outcomes of Percutaneous Nephrolithotomy in Patients with Solitary Kidney
Objective: To assess efficacy of the Guy’s Stone score (GSS) and Clinical Research Office of the Endourological Society (CROES) nomogram in predicting outcomes of percutaneous nephrolithotomy (PCNL) in patients with soli...