EFFICACY OF WOUND INFILTRATION USING BUPIVACAINE VERSUS ROPIVACAINE ALONG WITH FENTANYL FOR POSTOPERATIVE ANALGESIA FOLLOWING ABDOMINAL HYSTERECTOMY UNDER SPINAL ANESTHESIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 34
Abstract
[b]BACKGROUND[/b]: Wound infiltration with local anesthetics and opioids is increasingly being used as a part of multimodal postoperative analgesia. [b]OBJECTIVES[/b]: A prospective randomized double blind placebo controlled study was conducted to investigate the efficacy of wound infiltration using bupivacaine versus ropivacaine with fentanyl for postoperative analgesia. [b]METHOD[/b]: 93 female patients of ASA grade I/II posted for abdominal hysterectomy under spinal anesthesia were randomly divided into three groups destined to receive wound infiltration at the end of surgery using 14.5 ml 0.5% isobaric solution of either bupivacaine or ropivacaine along with 0.5 ml (25 mcg) fentanyl in group BF and RF respectively, and with 15 ml normal saline in control group (Group S). All patients received diclofenac 75 mg I.M. (B.D.) and rescue analgesic butorphanol 1 mg was given if pain occurs. Postoperative analgesia in terms of visual analogue score rescue opioids consumption in 24 hour period, and satisfaction score of patient, surgeon and anesthesiologist was compared. Rescue opioid (butorphanol) consumption in 24 hours was significantly higher in group S (61 mg), as compared to group BF (21 mg) and group RF (26 mg), p= 0.000. However group BF and group RF were comparable p=0.473. (Group S > group RF~ Group BF). Mean VAS score at rest, cough and movement was significantly less and satisfaction of patient, surgeon and anesthesiologist was significantly higher in group BF than in group RF than in group S, p<0.05. [b]CONCLUSION[/b]: We conclude that wound infiltration using bupivacaine or ropivacaine with fentanyl is an easy, safe and effective technique for providing postoperative analgesia. Moreover, bupivacaine seems to be superior to ropivacaine in wound infiltration in terms of significantly less pain score and better satisfaction score.
Authors and Affiliations
Udita Naithani, Indira Kumari, Rekha Roat, Vinita Agarwal, Chayenika Gokula, Harsha , Vimla Doshi
Keywords
Related Articles
- EP ID EP153769
- DOI 10.14260/jemds/1162
- Views 99
- Downloads 0
A COMPARATIVE STUDY OF DERMATOGLYPHICS (FINGER TIP PATTERN) IN PATIENTS WITH MYOCARDIAL INFARCTION AND CONTROL GROUP.
Dermatoglyphics is the scientific study of epidermal ridges and their configurations on the palmar region of hand and fingers and plantar region of foot and toes. The myocardial infarction is almost always caus...
THE BACTERIAL PROFILE AND ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF URINARY ISOLATES IN A TERTIARY CARE HOSPITAL IN WESTERN U.P.
BACKGROUND Urinary tract infection (UTI) is one of the common infections in the Indian community. Distribution and susceptibility of UTIcausing pathogens change according to time and place. UTI is one of the most common...
STUDY OF HYPONATREMIA IN PAEDIATRIC PATIENTS WITH ACUTE LOWER RESPIRATORY TRACT INFECTION
BACKGROUND Hyponatremia is one of the most common electrolyte abnormalities seen in paediatric intensive care unit. Common conditions associated with hyponatremia are pneumonia, acute meningitis, and Kawasaki disease. We...
NEONATAL HEARING SCREENING IN A NICU – A RURAL MEDICAL COLLEGE EXPERIENCE
[b]OBJECTIVE[/b]: To determine the incidence of Auditory impairment in the population of New born infants in a Neonatal intensive Care unit of a Tertiary Care centre using Oto-Acoustic Emissions. [b]METHODS[/b]...
INTRAVENOUS MIDAZOLAM - ROLE IN THE TREATMENT OF HYPERVENTILATION SYNDROME
[b]BACKGROUND[/b]: Hyperventilation syndrome (HVS) also known as irritable Heart, Da Costas syndrome or soldier’s heart is induced by stress. It comprises various symptoms like hyperventilation, breathlessness,...