Topical Levobupivacaine Efficacy in Pain Control after Functional Endoscopic Sinus Surgery

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dc.contributor.authorYılmaz, Süleyman
dc.contributor.authorYıldızbaş, Şahnur
dc.contributor.authorGüçlü, Ender
dc.contributor.authorYaman, Hüseyin
dc.contributor.authorSezen, Gülbin Yalçın
dc.date.accessioned2020-04-30T23:34:52Z
dc.date.available2020-04-30T23:34:52Z
dc.date.issued2013
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000330515100022en_US
dc.descriptionPubMed: 24005134en_US
dc.description.abstractObjective. The aim of this study was to find out the efficacy of a polyvinyl alcohol (PVA) sponge (Merocel Kennedy; Medtronic Xomed, Jacksonville, Florida) sinus pack soaked with levobupivacaine hydrochloride to control postoperative pain and analgesic need following functional endoscopic sinus surgery (FESS). Study Design. The study was designed as a prospective, double-blind, randomized, controlled study. Forty-one patients who underwent FESS were included in the analysis. Setting. A tertiary referral hospital in Turkey. Materials and Methods. Patients who underwent FESS were divided into 2 groups. The PVA sponge sinus packs were soaked with 5 mL of levobupivacaine hydrochloride (chirocaine 25 mg/10 mL; Abbott, Nycomed Pharma AS, Elverum, Norway) in group I and with 5 mL of saline in group II. Main Outcome Measures. Postoperative pain levels were recorded using a visual analog scale (VAS score, 0-100) at 30 minutes and 1, 2, 8, 12, and 24 hours. Results. There were no statistically significant differences between groups regarding age, sex, and American Society of Anesthesiologists status. Postoperative VAS values at 30 minutes and 1, 2, 8, 12, and 24 hours were significantly lower in group I than in group II (P < .05). Supplemental analgesia amount was significantly lower in group I than in group II (P = .003). Conclusion. Using levobupivacaine-soaked PVA sponge sinus packs after FESS is an effective, easy, and quick method to control postoperative pain, and it improves patient comfort and tolerability.en_US
dc.identifier.doi10.1177/0194599813502925en_US
dc.identifier.endpage781en_US
dc.identifier.issn0194-5998
dc.identifier.issn1097-6817
dc.identifier.issue5en_US
dc.identifier.startpage777en_US
dc.identifier.urihttps://doi.org/10.1177/0194599813502925
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5236
dc.identifier.volume149en_US
dc.identifier.wosWOS:000330515100022en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Ltden_US
dc.relation.ispartofOtolaryngology-Head And Neck Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectendoscopic sinus surgeryen_US
dc.subjectlevobupivacaineen_US
dc.subjectpain managementen_US
dc.subjecttopical anesthetic applicationen_US
dc.titleTopical Levobupivacaine Efficacy in Pain Control after Functional Endoscopic Sinus Surgeryen_US
dc.typeArticleen_US

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