Local Anesthetics Lidocaine and Bupivacaine as Pre-emptive Analgesia in Lumbar Region Degenerative Spinal Surgery Patients with Posterior Approach

Andhika Yudistira; Agustinus Budhi Prasetio; Lasa Dhakka Siahaan; Muhammad Alwy Sugiarto

doi:10.3889/oamjms.2022.8580

Authors

Andhika Yudistira Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Brawijaya,RSUD Dr. Saiful Anwar, Malang, East Java, Indonesia
Agustinus Budhi Prasetio Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Brawijaya,RSUD Dr. Saiful Anwar, Malang, East Java, Indonesia https://orcid.org/0000-0002-2259-1580
Lasa Dhakka Siahaan Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Brawijaya,RSUD Dr. Saiful Anwar, Malang, East Java, Indonesia https://orcid.org/0000-0003-1123-3013
Muhammad Alwy Sugiarto Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Brawijaya,RSUD Dr. Saiful Anwar, Malang, East Java, Indonesia https://orcid.org/0000-0001-8203-7728

DOI:

https://doi.org/10.3889/oamjms.2022.8580

Keywords:

Approach posterior, Visual analog score, Pre-emptive analgesia

Abstract

BACKGROUND: Pain management with pre-emptive analgesia is a pain management strategy to reduce acute post-operative pain.

AIM: This research aimed to determine the effectiveness of local anesthetics Lidocaine and Bupivacaine to reduce acute pain after the lumbar spine degenerative surgery using a posterior approach.

METHODS: This study was observational research with a prospective cohort and was carried out in 2021 at RSUD Dr. Saiful Anwar Malang with a sample of 12 in each test. The samples obtained were in accordance with the inclusion and exclusion criteria.

RESULTS: This assessment used was the Visual Analogue Score (VAS); an instrument for measuring the degree of pain experienced by patients with a value range of 0–10. Bupivacaine group achieved a lower VAS score more than lidocaine and the control group with VAS score 2; however, in another group, mostly was dominated by 3–5 VAS score during fullow-up periode.

CONCLUSION: This research showed that pre-emptive analgesia administration using local infiltration of Lidocaine or Bupivacaine before incision in degenerative surgery of the lumbar spine with a posterior approach had a significant effect on the scale of acute post-operative pain. Bupivacaine reduces the post-operative pain scale more effectively than Lidocaine up to 48 h postoperatively.

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References

Sekar C, Rajasekaran S, Kannan R, Reddy S, Shetty TA, Pithwa YK. Preemptive analgesia for postoperative pain relief in lumbosacral spine surgeries: A randomized controlled trial. Spine J. 2004;4(3):261-4. https://doi.org/10.1016/j.spinee.2003.11.009 PMid:15125846 DOI: https://doi.org/10.1016/j.spinee.2003.11.009

Emel E, Abdallah A, Özer AF. Posterior approach to the lumbar and lumbosacral junction. In: Surgical Anatomy: Principles of Spinal Surgery. İntertıp Yayınevi; 2016. p. 337-49.

Kim SI, Ha KY, Oh IS. Preemptive multimodal analgesia for postoperative pain management after lumbar fusion surgery: A randomized controlled trial. Eur Spine J. 2016;25(5):1614-9. https://doi.org/10.1007/s00586-015-4216-3 PMid:26324284 DOI: https://doi.org/10.1007/s00586-015-4216-3

Svehla J, Beran T. Lecba pooperacni bolesti. Anesteziol Neodkladna Pece. 2000;11: 95.

Rivkin A, Rivkin MA. Perioperative nonopioid agents for pain control in spinal surgery. Am J Health Pharm. 2014;71(21):1845-57. https://doi.org/10.2146/ajhp130688 PMid:25320134 DOI: https://doi.org/10.2146/ajhp130688

Jabeen M, Zafar F, Tabassam S, Alam F, Sohail M. Role of local infiltration of injection bupivacaine in reducing early post-operative pain. J Univ Med Dent Coll. 2020;11(1):1-8. https://doi.org/10.37723/jumdc.v11i1.306 DOI: https://doi.org/10.37723/jumdc.v11i1.306

Kjærgaard M, Møiniche S, Olsen KS. Wound infiltration with local anesthetics for post-operative pain relief in lumbar spine surgery: A systematic review. Acta Anaesthesiol Scand. 2012;56(3):282-90. https://doi.org/10.1111/j.1399-6576.2011.02629.x PMid:22260370 DOI: https://doi.org/10.1111/j.1399-6576.2011.02629.x

Hernández-Palazón J, Serrano JA, López SB, Molero EM. Infiltration of the surgical wound with local anesthetic for postoperative analgesia in patients operated on for lumbar disc herniation. Comparative study of ropivacaine and bupivacaine. Rev Esp Anestesiol Reanim. 2001;48(1):17-20. PMid:11234601

Mirzai H, Tekin I, Alincak H. Perioperative use of corticosteroid and bupivacaine combination in lumbar disc surgery: A randomized controlled trial. Spine (Phila Pa 1976). 2002;27(4):343-6. https://doi.org/10.1097/00007632-200202150-00003 PMid:11840097 DOI: https://doi.org/10.1097/00007632-200202150-00003

Thomson CJ, Lalonde DH. Randomized double-blind comparison of duration of anesthesia among three commonly used agents in digital nerve block. Plast Reconstr Surg. 2006;118(2):429-32. https://doi.org/10.1097/01.prs.0000227632.43606.12 PMid:16874214 DOI: https://doi.org/10.1097/01.prs.0000227632.43606.12

Calder K, Chung B, O’Brien C, Lalonde DH. Bupivacaine digital blocks: How long is the pain relief and temperature elevation? Plast Reconstr Surg. 2013;131(5):1098-104. https://doi.org/10.1097/PRS.0b013e3182865dbb PMid:23629091 DOI: https://doi.org/10.1097/PRS.0b013e3182865dbb

Glasser RS, Knego RS, Delashaw JB, Fessler RG. The perioperative use of corticosteroids and bupivacaine in the management of lumbar disc disease. J Neurosurg. 1993;78(3):383-7. https://doi.org/10.3171/jns.1993.78.3.0383 PMid:8433138 DOI: https://doi.org/10.3171/jns.1993.78.3.0383