Title: Port Site Infiltration of Bupivacaine vs Conventional Analgesics in Controlling Postoperative Pain in Laparoscopic Surgeries - A Comparative Study
Authors: Dr I Mahilan, Dr T Siva Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v8i12.29
Abstract
Introduction
Laparoscopic surgery is associated with less pain than open surgeries, still it is no pain- free in the early post-operative period. Post-operative pain varies in nature, severity, and duration and is one of the main factors that delays patient discharge thus increasing the cost of surgery and family crisis.
Administration of narcotics and NSAIDS are the conventional pain control methods which can control the pain effectively, but causes Respiratory depression, drowsiness & sedation, nausea & vomiting, ileus & constipation. Joint commission on Accreditation of Health Organizations states excessive use of opioids and NSAIDs in the post op period leads to dissatisfaction of patients. Hence the usage of non-conventional techniques as an adjuvant to reduce the side effects of conventional agents.
This study is aimed to compare the efficacy and side effects of using conventional analgesics (opioid, NSAID’s) vs. infiltration of local anesthetic agents in port site for post-operative pain control in laparoscopic surgery.
References
1. Soler Company E1, FausSoler M, Morales Olivas F, Martínez-Pons Navarro V. Factors affecting postoperative pain. Rev EspAnestesiolReanim.2001;48(4):163-70.
2. Cunningham FG, MacDonald PC. 21st ed. New York: McGraw-Hill.2001:362-558.
3. Carolyn Middleton, Understanding the physiological effects of unrelieved pain. Nurse Times.2003;99(37):28-31.
4. Møiniche S Henrik MD. Local Anesthetic Infiltration for Postoperative Pain Relief after Laparoscopy- Regional Anesthesia and Pain Medicine.2000;90(4):899-912