Local Infiltration of Ropivacaine Hydrochloride 0.20% for Postoperative Analgesia in Caesarean Section under Spinal Anaesthesia - A Randomised Study
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2018, Vol 4, Issue 11
Abstract
Smooth and complication free postoperative period is always desired after completion of surgery in every case but it becomes more important in case in ceaserean section as patient has to start nurture newborn immediately. All the techniques for multimodal analgesia have some or other side effects and thus they have to be used very cautiously in postoperative ceaserean section patient as they can adversely affect health of the baby also. Local infiltration of ropivacaine is effective analgesic and wit lesser side effects than pharmacological drugs. Our hypothesis is that local ropivacaine infiltration reduces postoperative pain in patients undergoing ceaserean section. This randomized control study was conducted on 60 patients of ASA grade 1 and 2 after taking ethics committee approval. Group I (n=30) is control group with no local infiltration and Group II (n=30) local infiltration of 20 ml Inj. Ropivacaine 0.2% at incision site. Diastolic, systolic and mean blood pressure, heart rate were measured throughout the procedure. Time of rescue analgesia and VAS score was recorded postoperatively. local infiltration of 0.2% ropivacaine provides postoperative analgesia. Mean duration of rescue analgesia in group I was 115.67±4.09 that was significant (p<0.05) in comparison to group II 147.17±4.67. local infiltration of 0.2% ropivacaine reduces postoperative pain in patients of ceaserean section under spinal anaesthesia.
Authors and Affiliations
Anju Gautam, Nidhi Sharma, Bhupendra Muzalda, Neelima Tandon
Keywords
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