Comparative study of ultrasound-guided abdominal field blocks versus port infiltration in laparoscopic cholecystectomies for post-operative pain relief.
Indian J Anaesth
; 60(8): 578-83, 2016 Aug.
Article
en En
| MEDLINE
| ID: mdl-27601741
ABSTRACT
BACKGROUND AND AIMS:
Post-operative pain is a major concern for day care surgeries like laparoscopic cholecystectomy. This study aimed to compare the efficacy of ultrasound guided abdominal field blocks (USAFB) with port site infiltrations for post-operative analgesia in terms of quality of pain relief, opioid consumption and patient satisfaction for day care surgeries.METHODS:
Eighty patients presenting for laparoscopic cholecystectomy were randomly allocated to two groups either to receive port-site infiltration of local anaesthetic (n = 40, Group A) or USAFB (n = 40, Group B group). Numeric rating scores (NRS) were measured postoperatively to primarily assess the pain severity and opioid requirements. Data were analysed using Chi-Square test/Fisher's exact test for categorical data and Mann-Whitney test/unpaired t-test for quantitative data.RESULTS:
The study group (Group B) had significantly reduced NRS and opioid consumption over 24 h. The overall fentanyl consumption in patients receiving port infiltrations was approximately twice (200 Î 100 µg) as compared to patients in USAFB group (120 Î 74 µg) (P < 0.0001). Maximum fentanyl consumption was 400 µg (Group A) and 262 µg (Group B) over 24 h and the minimum requirement was 50 µg and zero, respectively.CONCLUSION:
Superior post-operative analgesia was observed with USAFB which may help in minimising opioid-related adverse effects and facilitating faster recovery.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Indian J Anaesth
Año:
2016
Tipo del documento:
Article
País de afiliación:
India
Pais de publicación:
IN
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INDIA
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ÍNDIA