Preincision Vs Postincision Ropivacaine Wound Infiltration in Patients Undergoing Elective Laparotomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Postoperative pain control is an important aspect of perioperative care. The aim of our studywas to compare the efficacy of preincision and postincision wound infiltration with ropivacaine in reducing postoperative pain and analgesic requirement in patients undergoing elective laparotomy. Hundred patients of ASA I and IIscheduled for elective laparotomy were divided into two groups A and B.Group A received 0.25-0.5ml/kgwt of 0.25% of ropivacaine 15 minutes before giving incision and group B received same drug and dose at the wound site after completion of surgery.VAS scores and analgesic requirement for 24hours was recorded in both the groups.It was observed that patients in group A had significantly lower VASscores (p value of 0.003) and tramadol consumption(p value of 0.001) as compared to group B patients.Hence it can be concluded from our study that local infiltration with ropivacaine before incision is better than given postincisionin terms of pain relief and total analgesic requirement.
Authors and Affiliations
Farhana Bashir, Saba Ahad, Mushtaq Ahmad Rather, Israr ul Haq, Mohamad Ommid, Humaira Manzoor, Arshi Taj
Keywords
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