| Autor: |
Navya C. N., C. N., Abhishek Samdesi, Roselin, V., Safneedha, P. M., kumar, D. Kawin, Vendan, Pughal, Ranganathan, V. |
| Předmět: |
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| Zdroj: |
Medica Innovatica; Jan-Jun2023, Vol. 12 Issue 1, p73-77, 5p |
| Abstrakt: |
Aim: To evaluate the effectiveness of intraperitoneal aerosolization with 3ml bupivacaine on acute postoperative visceral pain. Materials and methods: 64 patients aged 18-60 years of ASA grades I and II undergoing laparoscopic surgery were randomly allocated to two equal comparable groups of 32 each. Group C: (Control Group) received 3ml of intraperitoneal saline aerosolization and Group L (Local anaesthetic group) received intraperitoneal aerosolization with 3ml of 0.5% Bupivacaine. Anaesthetic techniques were standardized. The degree of pain at rest and on movement by Verbal Numerical Rating Scale (VNRS) was collected in the postoperative ward at 6, 12, 24 and 48h after surgery. The total dose of rescue analgesics consumed, incidence of postoperative shoulder pain, nausea and vomiting were recorded. Results: Out of 64 patients included in the trial, two patients from each group were excluded from analysis due to conversion to open surgery. A significant reduction in VNRS was found on movement at 6h (4.3±1.4) after surgery in group L. There was no significant difference in VNRS at rest at any time and dynamic VNRS at 12, 24 and 48hours. 56.7% of patients in the group L complained of shoulder pain. The total doses of postoperative rescue analgesics consumed were significantly lesser in group L. The patient satisfaction scores were significantly better in the local anaesthetic group at 24h (6.1±0.7) and were comparable at 48h. Conclusion: Bupivacaine aerosolization reduces dynamic visceral pain at 6h after surgery and reduces postoperative rescue analgesic consumption. The patient satisfaction scores were better in the local anaesthetic group at 24h. There was no difference in incidence of shoulder pain, nausea and vomiting. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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