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
Related Articles
- EP ID EP251523
- DOI 10.9790/0853-1612109698
- Views 84
- Downloads 0
Comparative Assessment of Success Rate of Indirect Pulp Treatment With 2% Chlorhexidine Gluconate Disinfecting Solution, Calcium Hydroxide And Resin Modified Glass Ionomer Liner In Primary Teeth - A Prospective Study.
Indirect pulp treatment (IPT) is a conservative and minimally invasive procedure, advocated more than 200 years ago. The study was done to assess the success rate of 2% chlorhexidine gluconate disinfecting solution (CHX)...
Donepezil Related Neuroleptic Malignant Syndrome
The purpose of the paper is to report a case of development of neuroleptic malignant syndrome (NMS), in a 55year old Assamese male patient receiving low dose oral haloperidol 2.5mg/day and Trihexyphenidyl 4mg /day in div...
Comparative Analysis of Safety, Efficacy and Fetomaternal Outcome in Term Live Pregnancy for Induction of Labour with Oral Mifepristone and Intracervical Dinoprostone Gel
Objective: To compare the efficacy of Mifepristone and Dinoprostone as a cervical ripening agent for induction of labour and also on the status of newborn. Methods: It is a single blind prospective randomized comparative...
Impact of Kisspeptin on Prematur Puberty in Obese Girls
Kisspeptin is a peptide hormone that appears to play a major role in the regulation of GnRH secretion,the researchaims to study the relationship between obesity and premature puberty touched by influence of kisspeptin co...
Biosmart Materials: A Review
The quest for an ideal restorative materials in dentistry leads to the discovery of newer generation of material which aims at improving the efficiency and reliability. These materials can alter its properties in a contr...