title: Spinal and interpleural bupivacaine for percutaneous nephrolithotomy.
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.
authors.affiliation: Faculty of Medicine, University of Mansoura, Egypt.
authors.forename: M M
authors.initials: MM
authors.lastname: Saied
authors.forename: Z M
authors.initials: ZM
authors.lastname: Sonbul
authors.forename: M
authors.initials: M
authors.lastname: el-Kenawy
authors.forename: M M
authors.initials: MM
authors.lastname: Atallah
mesh_terms: D000328:Adult; D000775:Anesthesia, Spinal; D002045:Bupivacaine / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007278:Injections, Spinal; D007669:Kidney Calculi / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control*; D010994:Pleura
chemical_list: D002045:Bupivacaine