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Bupivacaine after PRF ablation offers immediate relief from trigeminal facial pain

Trigeminal facial pain Trigeminal facial pain
Trigeminal facial pain Trigeminal facial pain

What's new?

In trigeminal facial pain patients, the use of Bupivacaine injection following the completion of pulsed radiofrequency therapy expedited the onset of pain relief and reduced dosage of prescribed drugs.

A prospective, randomized, and double-blind study illustrated that Bupivacaine injection after pulsed radiofrequency (PRF) ablation can be used to offer instant relief in patients who need rapid pain reduction, without subjecting them to the risk of serious complications. Researchers aimed to evaluate the impact of Bupivacaine usage after PRF ablation on trigeminal facial pain.

Overall, 73 people suffering from trigeminal facial pain who had not responded to conservative treatment were randomly assigned to two groups. A total of 39 subjects in Group I and 34 subjects in Group II were incorporated. After undergoing PRF ablation operation, Group I patients received a 1 ml Bupivacaine injection.

Group II underwent the same procedure and was then administered a 1 ml injection of normal saline. Outcomes included analgesic effect, pain onset time, and pain alleviation duration as measured by a numerical pain rating scale. A similar duration of pain alleviation was noted in both groups. People in Group I had a faster onset of pain alleviation than patients in Group II, as shown in Table 1:

The injection of Bupivacaine alone had a substantial impact on the decrease in medication consumption, according to the binary logistic regression analysis. Hence, the combination of Bupivacaine and PRF therapy was effective for the management of trigeminal facial pain.

Source:

The Saudi Medical Journal

Article:

Efficacy of bupivacaine injection after pulsed radiofrequency ablation in the management of trigeminal facial pain: A prospective, randomized, and double-blind study

Authors:

Faisal M Hilal et al.

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