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首页> 外文期刊>The American journal of cosmetic surgery: journal of the American Society of Cosmetic Surgeons [and] official publication of the American Society of Lipo-Suction Surgery >Marcaine: A Dependable Local Anesthetic for Augmentation
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Marcaine: A Dependable Local Anesthetic for Augmentation

机译：可卡因：可靠的局部麻醉药

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Background: Many investigators have evaluated the utility of local anesthetic use before, during, and after augmentation mammoplasty. Routes used include subcutaneous injections, intercostal nerve blocks, pump infusions, drain infusions, and "splashing" into the submuscular pocket. Although many of these techniques yield statistically significant results, they can add time to the operation and can cause additional complications. In particular, local anesthetic pump infusions add significant cost and require a foreign body to be in contact with the skin in a pocket with a sterile implant. We sought to find an affordable solution that would decrease postoperative recovery time, reduce narcotic requirements, and decrease pain in the early postoperative period without adding significant cost or risk to the procedure.Objective: To determine whether Marcaine placement into the breast pocket during breast augmentation actually improves patient pain in the early postoperative period, and to determine whether this therapy has any detrimental effects.Methods: This double-blind, randomized study was undertaken to compare the effects of placing 10 mL 0.25% Marcaine with epinephrine into 1 or both breast pockets of each patient undergoing bilateral breast augmentation. We sought to evaluate whether this therapy improved postoperative pain and to assess the safety of using Marcaine for this purpose.Results: A total of 26 patients voluntarily enrolled in and completed our study. Of these, 25 received Marcaine in 1 or both breastpockets. In all, 24 patients reported less pain on the Marcaine-infused side, and 1 believed that her pain was equal in the 2 breasts. Among 4 patients who received Marcaine in both pockets, no narcotics were required in the recovery suite. No negative reactions to Marcaine werereported in any patient, nor were any infections or hematomas noted.Conclusions: Placing 10 mL of 0.25% Marcaine with epinephrine into each breast pocket during breast augmentation is a safe and effective form of early postoperative analgesia.
机译：背景：许多研究者已经评估了隆乳术在术中，术中和术后局部麻醉的效用。使用的途径包括皮下注射，肋间神经阻滞，泵送输注，引流输注和“溅入”肌下袋。尽管这些技术中的许多都产生了统计上显着的结果，但它们可能会增加手术时间并引起其他并发症。特别地，局部麻醉泵输注增加了相当大的成本，并且需要异物与带有无菌植入物的口袋中的皮肤接触。我们试图找到一种负担得起的解决方案，以减少术后恢复时间，减少麻醉剂需求并减轻术后早期疼痛，而又不增加手术成本或风险。目的：确定在隆胸过程中是否将可卡因放入胸腔方法：这项双盲随机研究比较了将10 mL 0.25％的可卡因与肾上腺素放入1个或两个乳房中的效果，并进行了比较。每个接受双侧隆胸手术的患者的口袋。我们试图评估这种疗法是否可以改善术后疼痛，并评估使用可卡因的安全性。结果：共有26名患者自愿参加并完成了研究。在这些人中，有25人在1个或两个胸腔接受了可卡因。总共有24名患者报告注射了可卡因的一侧疼痛减轻了，并且1名患者认为她的2个乳房疼痛相同。在两个口袋都接受可卡因的4名患者中，恢复套件中不需要麻醉药品。结论：在隆胸过程中，将10mL的0.25％可卡因与肾上腺素一起放入10mL的胸腔内是一种安全，有效的早期术后镇痛方法。

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