Efficacy of bupivacaine infiltration for post-operative 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
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