Sujatha, R (2013) Study on the Comparison of Intraperitoneal Instillation of Bupivacaine, Ropivacaine and Saline for Postoperative Pain Relief After Laparoscopic Intra Abdominal Surgeries. Masters thesis, Madras Medical College, Chennai.
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Abstract
SUMMARY: From this prospective, randomised, comparative, double blinded, case control study which evaluated the effectiveness of intraperitoneal instillation of Bupivacaine compared with Ropivacaine for post operative pain relief after laparoscopic abdominal surgeries. The following observations were noted… 1. The demographic profiles like Age, Sex, BMI, ASA status were comparable in all the groups. 2. Duration of post operative pain relief after intraperitoneal instillation of Bupivacaine was longer than Ropivacaine. 3. The VAS score was lower in Bupivacaine and Ropivacaine group when compared with saline group over the first 6 hours postoperatively. 4. Total Fentanyl requirement was lower in Bupivacaine and Ropivacaine group compared with saline group. 5. Post operative nausea and vomiting was significantly lower in both Ropivacaine and Bupivacaine group when compared to the control group. 6. Duration of surgery, hemodynamic parameters and complications were comparable in all groups. CONCLUSION: We conclude that intraperitoneal instillation of local anaesthetic drug is useful for post operative pain relief for patients undergoing laparoscopic surgeries and 0.5% Bupivacaine is a better analgesic when compared to intraperitoneal instillation of 0.5% Ropivacaine, with well maintained hemodynamics postoperatively.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Intraperitoneal Instillation ; Bupivacaine ; Ropivacaine ; Saline for Postoperative Pain Relief ; After Laparoscopic Intra Abdominal Surgeries. |
| Subjects: | MEDICAL > Anaesthesiology |
| Depositing User: | Kambaraman B |
| Date Deposited: | 04 Apr 2018 18:20 |
| Last Modified: | 04 Apr 2018 18:20 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6850 |
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