Efficacy of Rectus Sheath Block for Postoperative Pain Management: A Comparison with Epidural Analgesia
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Background: Rectus sheath block is an effective modality in postoperative management of pain after midline laparotomy. It compares favourably with gold standard of epidural analgesia in terms of pain scores and need for rescue doses of opioids and NSAIDs. We report our experience with rectus sheath block administered via catheters placed surgically by operating surgeon during midline laparotomies. Material and Methods: 50 patients undergoing midline laparotomy for gynaecological oncosurgery were randomized to epidural block (EA) and rectus sheath block arms. Pain scores. need of and time to rescue analgesia, time to ambulation and functional GI recovery were compared in the two groups. Results: Rectus sheath block was associated with an earlier onset of analgesia and a trend towards lower pain scores, earlier ambulation and GI recovery compared to epidural block. Conclusion: Rectus sheath block is an effective modality for postoperative pain relief in gynaecological oncosurgery and is comparable to epidural analgesia in efficacy with minimal adverse effects.
Authors and Affiliations
Santhanam Sampath
Keywords
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