Comparison of Preemptive Intraperitoneal Instillation and Nebulisation of 0.5% Ropivacaine in Laparoscopic Cholecystectomy for Post-operative Pain Relief
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 4
Abstract
Objective: The etiology of postoperative pain in patients undergoing laproscopic cholecystectomy is multifactorial consisting of incisional and visceral pain from the operation itself and parietal pain from trauma and irritation to the peritoneum and diaphragm. Design: This randamozied single blind study was conducted on 60 patients of either sex undergoing laproscopic cholecystectomy under general anesthesia. Group A [n=30] received 15 ml of 0.5% ropivacaine by instillation and group B [n=30] received 15 ml of 0.5% ropivacane intraperitoneally by piston type of nebulization 10 minutes before surgery and both the groups got 5 ml [0.5%] ropivacaine at the trocar site at the end of surgery. Results: Patients in both the groups were comparable with respect to age, sex and weight [p>0.05]. VAS score for incisional pain was significantly lower in Group A at 1hour and 8 hrs postoperatively [p=0.02 and p=0.04] respectively. At all other intervals the incisional pain, Visceral pain and shoulder tip pain was comparable amongst the two groups [p>0.05]. Time to first analgesia was longer in group A [2.29 hrs] as compared to Group B [1.66 hrs] but was stastically insignifiacant [p>0.5]. Mean total number of analgesic used was 1.4 in both the groups [p=1]. Conclusion: Intraoperative subdiaphgramatic and intraperitoneal instillation of ropivacaine 0.5% is beneficial and better modality of pain relief because of ease of technique and better VAS scores as compared to intrperitoneal nebulization of ropivacaine.
Authors and Affiliations
Jyoti Pathania
Keywords
Related Articles
- EP ID EP668357
- DOI 10.21088/ijaa.2349.8471.6419.54
- Views 98
- Downloads 0
Assessment of Clinical Performance of Supraglottic Airway Devices in Adults for Short Surgical Procedures
Aim: In the present study we compared the clinical performance of the I-gel and LMA in terms of the effectiveness and safety administration in anesthetized patients. Materials & Methods: A total of 100 patients with req...
Subarachnoid Hyperbaric Bupivacaine and Isobaric Levobupivacaine: A Prospective Randomized Double Blind Comparative Study
Aim: The aim of our study was to compare the efficacy, block parameters and safety profile of intrathecal hyperbaric bupivacaine and isobaric levobupivacaine for urological surgery. Methods: Urological patients who were...
Ultrasound Guided Transversus Abdominis Plane Block for Post Operative Analgesia in Patient Undergoing Open Appendicectomy: A Randomized Controlled Study
Background: Analgesia is an important concern in the post operative period in terms of complications like delayed mobility, respiratory distress and thromboembolic events. There have been a number of approaches for post...
A Comparative Study between Oral Pregabalin 150mg and Gabapentin 300mg for Postoperative Analgesia in Patients Undergoing Laparoscopic Cholecystectomy
This study designed to test the hypothesis that the preoperative use of pregabalin will reduce th consumption of analgesics after laparoscopic cholecystectomy and to compare its efficacy and side effects with that of gab...
A Randomised Prospective Double Blinded Study of Intrathecal Levobupivacaine with Fentanyl Verses Clonidine for Infraumblical Surgeries
Background and aims: Subarachnoid block can be performed with many local anaesthetic agents. Besides hyperbaric bupivacaine even isobaric levobupivacaine and ropivacaine can also be used with minimal cardiotoxicity. Adju...