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Category: Volume 06 Issue 08 August 2018
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Title: A Randomised Control Study: Post operative analgesic effect of Dexmedetomidine administration in wound infiltration for abdominal hysterectomy

Authors: Dr Megha Gandotra, Dr Renu wakhloo

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i8.182

Abstract

Introduction

Abdominal hysterectomy is associated with moderate to severe post-operative pain. The post-operative pain not only delays recovery but also can lead to chronic pain. A multimodal approach to pain is the current standard in perioperative pain management. Epidural analgesia may be considered by some to be gold standard for pain management after abdominal surgeries.

Nevertheless, concerns remain regarding complications after neuraxial blocks specifically in older patients. Thus, there is considerable interest in alternative methods of analgesia requiring minimal post-operative monitoring. Post-operative wound infiltration with local anaesthetics is an attractive method because of its simplicity, safety, and low cost. Local anaesthetic infiltration with added adjuvants can improve the quality and duration of analgesia. The added adjuvants are epinephrine, ketorolac, opioids, clonidine, etc. 

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Corresponding Author

Dr Megha Gandotra

Government Medical College, Jammu, India