The Effectiveness of Intravenous Parecoxib on the Incidence of Ipsilateral Shoulder Pain After Thoracotomy: A Randomized, Double-Blind, Placebo-Controlled Trial.
J Cardiothorac Vasc Anesth
; 32(1): 302-308, 2018 02.
Article
em En
| MEDLINE
| ID: mdl-29223722
ABSTRACT
OBJECTIVES:
To determine the incidence of ipsilateral shoulder pain (ISP) with the therapeutic use of parecoxib compared with a placebo after thoracotomy.DESIGN:
A prospective, randomized, double-blind, placebo-controlled trial.SETTING:
A tertiary-care university hospital.PARTICIPANTS:
Adult patients undergoing an elective thoracotomy between June 2011 and February 2015.INTERVENTIONS:
Patients were allocated randomly into the parecoxib group (n = 80) and the control group (n = 80). In the parecoxib group, 40 mg of parecoxib was diluted into 2 mL and given intravenously 30 minutes before surgery and then every 12 hours postoperatively for 48 hours. In the control group, 2 mL of normal saline was given to the patients at the same intervals. MEASUREMENTS AND MAINRESULTS:
A numerical rating scale was used to assess the intensity of ISP at 2, 6, 12, 24, 48, 72, and 96 hours after surgery. Intravenous morphine (0.05 mg/kg) was used as the rescue medication for ISP during the 96-hour period. Baseline characteristics of patients in both groups were comparable. Patients in the parecoxib group had a significantly lower incidence of ISP, both overall (42.5% v 62.0%, p = 0.014) and of moderate-to-severe ISP when compared with the control group (26.2% v 49.4%, p = 0.003). Parecoxib reduced the risk of ISP by a statistically significant 32% (risk ratio, 0.68; 95% confidence interval, 0.50-0.93, p = 0.016). There were no significant differences in the occurrence of adverse effects between the groups.CONCLUSIONS:
Intravenous parecoxib significantly can reduce the incidence and severity of ISP after thoracotomy.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Toracotomia
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Dor de Ombro
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Inibidores de Ciclo-Oxigenase 2
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Isoxazóis
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article