249 / 330
249
19–22 APRIL, 2017, BARCELONA, SPAIN
11:12–11:15
S23-3 (PP)
★
INTRAOPERATIVE LOCAL ANESTHETIC INJECTION
IMPROVES PATIENT COMFORT FOLLOWING PEDIATRIC
PERCUTANEOUS NEPHROLITHOTOMY
Erman CEYHAN
1
, Fatih ILERI
2
, Ali Cansu BOZACI
3
, Hasan Serkan DOGAN
3
,
Ozgur CANBAY
4
, Aysun ANKAY YILBAS
5
and Serdar TEKGÜL
3
1) Hacettepe University School of Medicine, Urology, Ankara, TURKEY - 2) Hacettepe University School of Medicine
Ankara, Urology, Ankara, TURKEY - 3) Hacettepe University School of Medicine Ankara, Pediatric Urology, Ankara,
TURKEY - 4) Hacettepe University School of Medicine Ankara, Anesthesiology & Reanimation, Ankara, TURKEY -
5) Hacettepe University School of Medicine Ankara, Anesthesiology & Reannimation, Ankara, TURKEY
PURPOSE
To assess the effect of preemptive local anesthetic infiltration on postoperative analgesic need and
patient comfort after pediatric PNL.
MATERIAL AND METHODS
All of the patients treated with PNL recieved the same anesthetic and analgesic drugs. The SF
group (n:16) received serum physiologic and LA group (n:16) received 2 mg/kg of prilocaine-
bupivacaine through the access line. All patients recieved 6*15mg/kg paracetamol postoperatively.
Patients were evaluated at 15.min, 30.min, 1.h, 6.h ve 24.h with FLACC (Face,Legs,Activity,Cry,C
onsolability) scale postoperatively. Patients with pain score≥4 were applied 1mg/kg meperidin(im)
as rescue analgesic.
RESULTS
Median age was 69,5 (29-204) and 71 (12-204) in SF and in LA groups. Two groups were similar
regarding age, stone size, number, hospitalization length and FLACC scores. SF and LA group
were similar regarding the analgesic need in first 15 minutes (10/16 vs 5/16;x²:0.077), need for
first (87.5% vs 56.3%;x²:0,049; Fisher’s Exact:0,113) and second dose rescue analgesic (SF:
4/16,LA:0/16;Fisher’s Exact 0.101;x² 0.033). Postoperativenausea, vomiting was not increased in
LA group. Analgesia satisfaction were significantly in favor of LA group (median 2 for SF and 3 for
LA groupsMann-Whitney U; p=0.012).
CONCLUSIONS
Despite the fact that PCNL is a minimal invasive surgery, it is not pain free due to the procedure
itself and presence of postoperative diversion. Our study showed that the preemptive intraopera-
tive LA administration decreases postoperative analgesic need .LA administration was found to be
beneficial on patients’ comfort by increasing analgesia satisfaction.
11:15–11:24
Discussion