Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia

Background and Aim. Aparallel, randomized, double blinded, placebo-controlled trial study was designed to assess the efficacy of single low dose of intravenous magnesium sulfate on post-total abdominal hysterectomy (TAH) pain relief under balanced general anesthesia. Subject and Methods. Forty women...

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Main Authors: Arman Taheri, Katayoun Haryalchi, Mandana Mansour Ghanaie, Neda Habibi Arejan
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Anesthesiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/306145
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author Arman Taheri
Katayoun Haryalchi
Mandana Mansour Ghanaie
Neda Habibi Arejan
author_facet Arman Taheri
Katayoun Haryalchi
Mandana Mansour Ghanaie
Neda Habibi Arejan
author_sort Arman Taheri
collection DOAJ
description Background and Aim. Aparallel, randomized, double blinded, placebo-controlled trial study was designed to assess the efficacy of single low dose of intravenous magnesium sulfate on post-total abdominal hysterectomy (TAH) pain relief under balanced general anesthesia. Subject and Methods. Forty women undergoing TAH surgery were assigned to two magnesium sulfate (N=20) and normal saline (N=20) groups randomly. The magnesium group received magnesium sulfate 50 mg·kg−1 in 100 mL of normal saline solution i.v as single-dose, just 15 minutes before induction of anesthesia whereas patients in control group received 100 mL of 0.9% sodium chloride solution at the same time. The same balanced general anesthesia was induced for two groups. Pethidine consumption was recorded over 24 hours precisely as postoperative analgesic. Pain score was evaluated with Numeric Rating Scale (NRS) at 0, 6, 12, and 24 hours after the surgeries. Results. Postoperative pain score was lower in magnesium group at 6, 12, and 24 hours after the operations significantly (P<0.05). Pethidine requirement was significantly lower in magnesium group throughout 24 hours after the surgeries (P=0.0001). Conclusion. Single dose of magnesium sulfate during balanced general anesthesia could be considered as effective and safe method to reduce postoperative pain and opioid consumption after TAH.
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series Anesthesiology Research and Practice
spelling doaj-art-186045bf7cef46d5959095cc381446612025-02-03T01:27:18ZengWileyAnesthesiology Research and Practice1687-69621687-69702015-01-01201510.1155/2015/306145306145Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General AnesthesiaArman Taheri0Katayoun Haryalchi1Mandana Mansour Ghanaie2Neda Habibi Arejan3Department of Anesthesiology and Pain Medicine, Tehran University of Medical Science, Tehran 19986 35696, IranDepartment of Anesthesiology, Reproductive Health Research Center, Guilan University of Medical Sciences, Guilan 14455 41656, IranDepartment of Gynecology, Reproductive Health Research Center, Guilan University of Medical Sciences, Guilan 14455 41656, IranDepartment of Internal Medicine, Metabolic Disease Research Center, Qazvin University of Medical Science, Qazvin 14816 46341, IranBackground and Aim. Aparallel, randomized, double blinded, placebo-controlled trial study was designed to assess the efficacy of single low dose of intravenous magnesium sulfate on post-total abdominal hysterectomy (TAH) pain relief under balanced general anesthesia. Subject and Methods. Forty women undergoing TAH surgery were assigned to two magnesium sulfate (N=20) and normal saline (N=20) groups randomly. The magnesium group received magnesium sulfate 50 mg·kg−1 in 100 mL of normal saline solution i.v as single-dose, just 15 minutes before induction of anesthesia whereas patients in control group received 100 mL of 0.9% sodium chloride solution at the same time. The same balanced general anesthesia was induced for two groups. Pethidine consumption was recorded over 24 hours precisely as postoperative analgesic. Pain score was evaluated with Numeric Rating Scale (NRS) at 0, 6, 12, and 24 hours after the surgeries. Results. Postoperative pain score was lower in magnesium group at 6, 12, and 24 hours after the operations significantly (P<0.05). Pethidine requirement was significantly lower in magnesium group throughout 24 hours after the surgeries (P=0.0001). Conclusion. Single dose of magnesium sulfate during balanced general anesthesia could be considered as effective and safe method to reduce postoperative pain and opioid consumption after TAH.http://dx.doi.org/10.1155/2015/306145
spellingShingle Arman Taheri
Katayoun Haryalchi
Mandana Mansour Ghanaie
Neda Habibi Arejan
Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia
Anesthesiology Research and Practice
title Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia
title_full Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia
title_fullStr Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia
title_full_unstemmed Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia
title_short Effect of Low-Dose (Single-Dose) Magnesium Sulfate on Postoperative Analgesia in Hysterectomy Patients Receiving Balanced General Anesthesia
title_sort effect of low dose single dose magnesium sulfate on postoperative analgesia in hysterectomy patients receiving balanced general anesthesia
url http://dx.doi.org/10.1155/2015/306145
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