Efficacy of bupivacaine infiltration for postoperative pain relief in paediatric patients
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 6, Issue 2
Abstract
Background: The effective control of pain remains one of the most important issues in the postoperative care today. Local infiltration of bupivacaine requires less skill and is better technique for postoperative pain relief in paediatric patients. Aim: To study the efficacy of subcutaneous infiltration of bupivacaine hydrochloride (2mg/kg) for postoperative pain relief in paediatric patients undergoing minor surgeries. Material and Methods: A total of 70 patients were equally distributed in two groups as Group I: patients in which wound was infiltrated with bupivacaine hydrochloride at the end of surgery and Group II: patients in which wound was not infiltrated. Assessment of pain was done by simple linear analogue pain diagram of facial expression, by pain score assessed by parents and visual analogue scale. Results: The group I patient had more duration of analgesia (238.28±49.31 mins/ 243.42±41.01 mins) and group II had less duration of analgesia (39.14±15.41 mins/ 40.0±14.95 mins).The difference of analgesia was significant (p<0.05). Conclusion: Subcutaneous infiltration of wound with bupivacaine for postoperative analgesia is a simple technique and useful to provide analgesia up to 4-5 hours. It is safe and effective method for postoperative analgesia in paediatric patients.
Authors and Affiliations
Suryakant Mundhe, Sachin Bhavthankar
Keywords
Related Articles
- EP ID EP360214
- DOI -
- Views 187
- Downloads 0
A comparative study of pre-incisional and post-incisional wound infiltration of bupivacaine for post-operative pain relief in abdominal surgeries
Background:Topical infiltration of local anaesthetic in the surgical site is a simple, easy and attractive technique recommended for providing a longer post-operative pain free period and decreased opioid requirements.Ma...
A study of the efficacy of paravertebral block in the patients of breast surgeries at tertiary health care centre
Background: Breast cancer is perhaps the most common cancer in women that requires frequent surgical intervention. Until recently breast surgeries were typically performed under general anaesthesia by intravenous and inh...
A comparative study of the efficacy of I.V. esmolol and megnesium sulphate in attenuating haemodynamic response to laryngoscopy and tracheal intubation
Problem Statement: The tracheal intubation is a powerful noxious stimulus. During laryngoscopy and tracheal intubation these is cardiovascular stress response. It occurs frequently and results in increased serum concentr...
Effectiveness of prophylactic phenylephrine against placebo in prevention of post-sub arachnoid block hypotensive response in elective urological surgeries: A randomized double-blind controlled study
Background: The most common complication of this anaesthetic technique is hypotension, with a particularly frequent incidence in the elderly. Various techniques are being used to control the hypotension. The main mechani...
Significance of lactate and its clearance within 6 hours of admission in children with sepsis and septic shock admitted to PICU
Aims and Objective: To measure the serum lactate levels in patient with sepsis and septic shock. To determine and correlate lactate clearance within 6 hours of admission with sepsis and septic shock, with PICU mortality....