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Middle East J Anaesthesiol · Oct 1991
Randomized Controlled Trial Clinical TrialSpinal and interpleural bupivacaine for percutaneous nephrolithotomy.
- M M Saied, Z M Sonbul, M el-Kenawy, and M M Atallah.
- Faculty of Medicine, University of Mansoura, Egypt.
- Middle East J Anaesthesiol. 1991 Oct 1; 11 (3): 259-64.
AbstractThe promising interpleural block (IPB) technique stimulated the comparison of its adjuvant effect to spinal analgesia for percutaneous nephrolithotomy (PCNL) with that of meperidine-diazepam. Twenty five patients receiving spinal analgesia 15 mg 0.5% heavy bupivacaine for PCNL were randomly allocated to receive the adjuvant effect of either meperidine 1 mg/kg IV and diazepam 10 mg total dose (n = 10) or IPB with 10 ml 0.5% plain bupivacaine (n = 15). It was found that IPB produced a totally pain free operation and needed less frequent administration in the postoperative period, while meperidine-diazepam produced a pain free in 20% of patients and needed more frequent postoperative meperidine (1 mg/kg IM) administration.
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