Postoperative pain is one of the challenging issues faced by healthcare professionals. Inadequate analgesia or adverse effects associated with analgesics lead to increased perioperative morbidity and delay ambulation. Objective:
to compare duration of analgesia, pain score at analgesic request and hemodynamic changes after intraperitoneal instillation and wound infiltration of ropivacaine: Study design:
Prospective randomized control study. Method
: Sixty female patients of ASA physical status I and II in the age group of 35 – 65 years were enrolled in the study and divided into 2 groups of 30 each. In both the groups 20 ml of 0.2% ropivacaine was given as wound infiltration before closure of the skin. In one group, 20 ml of 0.9% normal saline was given intraperitoneally and in other 20ml of 0.2% ropivacaine was given. Results:
Age, weight and height distribution in both the groups were similar. Difference in Heart rate and Mean arterial blood pressure in both the groups were not statistically significant. Postoperative VAS score was lesser in the group given intraoeritoneal ropivacaine at 60- 120 minutes. The mean duration of analgesia (168 ± 3.68) was also prolonged in the same group vs 140 ± 5.69. The VAS score at analgesic request was also lower in the intraperitoneal ropivacaine group. Conclusion:
Intraperitoneal and wound infiltration of ropivacaine is an effective and cheap method to provide postoperative analgesia without the adverse effects associated with intravenous opioids.
Christina Jose, Rohini Kenchengoudara, Anish Sharma. A prospective controlled comparative clinical study of the postoperative analgesia after intraperitoneal instillation and wound infiltration of ropivacaine during total abdominal hysterectomy under general anesthesia. Int. J. Anesthesiology Res. 2020;2(1):22-25.