A randomized trial of postoperative wound irrigation with local anesthetic for pain after cesarean delivery

Vanessa A. Givens, Gary H. Lipscomb, Norman Meyer

Research output: Contribution to journalArticle

90 Citations (Scopus)

Abstract

OBJECTIVE: The purpose of this study was to investigate the efficacy of continuous local anesthetic infusion system for pain control after cesarean delivery. STUDY DESIGN: This was a randomized prospective double-blind study. Patients who underwent cesarean delivery had a pain system implanted subcutaneously after closure of the fascia. Patients were randomized to receive an infusion of either 0.25% bupivacaine (n = 20) or normal saline solution (n = 16) into the wound for 48 hours. Postoperative pain (determined with a visual analog scale) and postoperative morphine use were assessed at 12, 24, and 48 hours. RESULTS: There were no significant differences in patient demographics or visual analog pain scores at any time interval between the bupivacaine versus the placebo group. However, narcotic requirements to produce this amount of pain relief were significantly less in patients who received bupivacaine infusion rather than normal saline solution at all time intervals. CONCLUSION: The continuous local anesthetic infusion system appears to be effective in reducing postoperative morphine use after cesarean delivery.

Original languageEnglish (US)
Pages (from-to)1188-1191
Number of pages4
JournalAmerican Journal of Obstetrics and Gynecology
Volume186
Issue number6
DOIs
StatePublished - Jan 1 2002

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Local Anesthetics
Bupivacaine
Pain
Wounds and Injuries
Sodium Chloride
Morphine
Fascia
Narcotics
Postoperative Pain
Visual Analog Scale
Double-Blind Method
Placebos
Demography

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

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A randomized trial of postoperative wound irrigation with local anesthetic for pain after cesarean delivery. / Givens, Vanessa A.; Lipscomb, Gary H.; Meyer, Norman.

In: American Journal of Obstetrics and Gynecology, Vol. 186, No. 6, 01.01.2002, p. 1188-1191.

Research output: Contribution to journalArticle

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