A study of effectiveness of Intravenous Lidocaine and Gabapentin and their combination on postoperative analgesia for thyroid surgeries at tertiary health care center
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 2
Abstract
Background: An ultimate goal of surgical treatment is approaching better recovery for a high quality of life without complications and sequelaes. More than 80% of surgical patients experience postoperative pain. Aims and Objectives: To Study Effectiveness of Intravenous Lidocaine and Gabapentin and Their Combination on Postoperative Analgesia for Thyroid Surgeries at tertiary health care center. Methodology: After approval from the institutional ethical committee this cross-sectional study was carried out in the department of anesthesiology during the two year period February 2013 to February 2014 in the patients undergoing thyroid surgeries. After written consent the patients were randomly enrolled into three different treatment group for the alleviation of post-operative pain i.e. L-Group- Lidocaine, G-Group- Gabapentin group, LG-Combination of both the groups. The post -operative pain was assed at 0, 2, 4, 6, 12, 18,24 hrs. by Visual Analogue Scale (VAS) it was tabulated as Mean ± SD analyzed by ANOVA test calculated by SPSS-19 version software. Result: The majority of the patients were in the age group of 40-50 i.e. 33.33%, followed by 50-60, 26.67%, 30-40-20.00%, 20-30-13.33%, >60 were 6.67%. The majority of the patients were Female i.e. 53.33% and Males were 46.67%. The severity of the pain as assessed by VAS score was significantly more in the L-Group and G-Group as compared to LG -Group at 0 (P<0.05), 2 (P<0.05), 4 (P<0.05), 6 (P<0.01), 12(P<0.01), 18 (P<0.001),24 (P<0.05) hrs. of post-operative time. Conclusion: The combination of Lidocaine and Gabapentin was found to be superior to individual each drug with respect to less VAS score at various durations of post-operative period.
Authors and Affiliations
K Vijay Kumar, N Sadanandam
Keywords
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