HIGH-VOLUME LOW-CONCENTRATION INTRAPERITONEAL BUPIVACAINE FOR POST-LAPAROSCOPIC CHOLECYSTECTOMY ANALGESIA : A PROSPECTIVE RANDOMISED CONTROLLED STUDY.
Journal Title: GJRA-Global Journal For Research Analysis - Year 2018, Vol 7, Issue 7
Abstract
Pain is considerable after laparoscopic cholecystectomy. This study was conducted to evaluate results of high-volume low concentration bupivacaine for post‑operative analgesia in Laparoscopic Cholecystectomy. Sixty patients undergoing LC were included in this study. Patients were divided into two (n = 30) groups. In Group S intraperitoneal irrigation was done with 300 ml of normal saline. In Group B 25 ml of 0.5% (125 mg) bupivacaine was added to 275 ml of normal saline for intraperitoneal irrigation during and after surgery. Post‑operative pain assessment,duration of analgesia (DOA), total rescue analgesic requirement, nausea and vomiting were recorded for the initial 24 h post‑operatively. In Group B mean DOA was more and cumulative requirement of rescue analgesic was less than that in Group B. There was no significant difference in incidence of nausea and vomiting between the groups. High‑volume low‑concentration of intraperitoneal bupivacaine significantly increases post‑operative DOA and reduces opioid requirement after LC.
Authors and Affiliations
Dr. Jigyasa Shahani
Keywords
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