A Prospective Randomized Study on the Efficacy of Interpleural Analgesia in Reducing Post Operative Pain and Parenteral Analgesic Requirement in Patients Undergoing Upper Abdominal Surgery
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 2
Abstract
Administration of local anesthetics into the pleural space provides rapid onset and long duration of analgesia upper abdomen surgeries without respiratory depression as seen with opioids.in this study we attempt to find the efficacy of interpleural analgesia in reducing post operative pain and parenteral analgesic requirement in patients undergoing upper abdominal surgery. Aim: To analyze the efficacy of interpleural analgesia in reducing post operative pain and parenteral analgesic requirement in patients undergoing upper abdominal surgery. Materials and Methods: After ethics committee approval and written informed consent 36 patients undergoing elective upper abdominal surgeries were selected randomly based on computer generated random numbers. General anaesthesia administered as per routine in our hospital. When the surgery was over the patients divided into two trearment groups of 18 patients. 1. Pleural analgesia (bupivacaine) combined with Parenteral analgesics (Pentazocine). Forty milliliters of Injection bupivacaine 0.25%via intrapleural catheter. 2. Parenteral analgesics alone. (Pentazocine). Results: Consumption of pentazocine were higher in control group than in pleural group, for Day 1(P < 0.001), Day 2 (P < 0.01) and Day1 + 2 (P <0.001) Mean pain scores were significantly reduced 30 min after IP instillation of bupivacaine 0.25 % compared to control group. Conclusion: It is concluded from this study that intermittent interpleural analgesia with bupivacaine was more effective than intermittent intramuscular administration of pentazocine alone.
Authors and Affiliations
R. Padmini
Keywords
Related Articles
- EP ID EP532691
- DOI 10.21088/ijaa.2349.8471.5218.14
- Views 75
- Downloads 0
Low Dose Dexamethasone Reduces Spinal Buprenorphine Associated Nausea and Vomiting
Intrathecal Buprenorphine is an adjuvant to spinal anaesthesia offers the advantage of providing good analgesia, but is associated postoperative nausea and vomiting. Dexamethasone is a potent steroid and has good antieme...
Fascia Iliaca Compartment Block with Ropivacaine Versus Intravenous Fentanyl in Patients with Fracture Femur
Introduction: Fracture femur, a painful condition is common in the elderly patients with associated co-morbidities. Systemic NSAIDS increase the chances of epigastric pain, coagulation abnormalities where as opioids inc...
Comparison of Hemodynamic Response and Vasopressor Requirement Following Spinal Anaesthesia, between Normotensive and Mild Gestational Hypertension Patients Undergoing Caesarean Section: A Prospective Study
Background: Neuraxial anaesthesia is the preferred anaesthesia technique for delivery by caesarean section. Despite controversies, there is evidence that supports the use of spinal anaesthesia in severe preeclampisa grou...
Effect of Dexmedetomidine Infusion on Halothane Requirement to Provide Oligaemic Surgical Field during Middle Ear Surgery under General Anaesthesia
Introduction: Middle ear surgeries require hypotensive anaesthesia to improve quality of surgical field. Dexmedetomidine is α2 agonist which provides desired surgical field, sedation and analgesia. Aim: The present study...
Comparison between Combined Sciatic-Fascia Iliaca Compartment Block and Unilateral Spinal Anesthesia for Unilateral Lower Limb Surgery: A Retrospective Study
Introduction: We aimed this study to evaluate the efficacy, quality and safety of combined sciatic and Fascia Iliaca Compartment Block with Unilateral Spinal Anaesthesia for selected lower limb surgeries. Materials & Me...