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
Related Articles
- EP ID EP210129
- DOI -
- Views 91
- Downloads 0
Arrhythmogenic Right Ventricular Dysplasia is Rare –Case Report
Arvd is a rare form of cardiomyopathy in which the heart muscle of the right ventricle is replaced by fat /fibrous tissue. It’s an important cause of vt in children, young adults. Its predominantly affects males, 30-50%...
Epileptic Patients in Dentistry – A Challenge
Epilepsy, which is characterized by the risk of recurrent seizures, is a chronic disease. Dentists with a thorough knowledge of seizure disorders and the medications used to treat them can provide necessary dental and or...
Idiopathic Calcinosis Cutis of Scrotum: A Rare Case Report, Evaluation and its Surgical Management
Scrotal calcinosis cutis is an uncommon benign disorder of scrotal skin characterized by deposition of multiple intradermal nodules containing calcium. Nodules are painless and may vary in size. In idiopathic calcinosis,...
Restrictive Transfusion Policy on Anemia - An Ideal Strategy in Critically Ill Patient
A total of 100 patients were included for three years in the study from 2012 Mach to 2015 March. This study aims to assess the prevalence of Anemia in critically ill patients and studies the association of blood transfus...
Metaplastic Carcinoma of Breast with Chondrosarcomatous DifferentiationA Rare Case Report
Metaplastic carcinomas of breast are rare neoplasms. They are highly heterogenous groups of tumors that are characterised by an admixture of adenocarcinoma with dominant areas of spindle cell, squamous, and/or mesenchyma...