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Clinical Trial
. 1991 Oct;11(3):259-64.

Spinal and interpleural bupivacaine for percutaneous nephrolithotomy

M M Saied  1 , Z M Sonbul, M el-Kenawy, M M Atallah
Affiliations
  • PMID: 1815112
Clinical Trial

Spinal and interpleural bupivacaine for percutaneous nephrolithotomy

M M Saied et al. Middle East J Anaesthesiol. 1991 Oct.

Abstract

The 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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