Volume : 08, Issue : 01, January – 2021
26. A COMPARATIVE STUDY OF INJ. KETOROLAC ALONG WITH INFILTRATION OF INJ. BUPIVACAINE AT OPERATION SITE & INJ. KETOROLAC ALONG WITH INTRA-PERITONEAL INFILTRATION OF INJ. BUPIVACAINE FOR PAIN RELIEF AFTER POST LAPAROSCOPIC CHOLECYSTECTOMY
Dr Maham Shahbaz , Dr Rabeea Sattar, Dr Hina Khan
Aim: To study the analgesic effect of injection Ketorolac along with Intra-incisional infiltration of injection Bupivacaine & compare it with the analgesic effect of injection Ketorolac along with Intra-peritoneal infiltration of injection Bupivacaine.
Place and Duration: At the Surgical Unit-II and Anesthesia Unit-I of Sir Ganga Ram Hospital, Lahore for one-year duration from June 2019 to June 2020.
Patients and Methods: This was a prospective, randomized, double-blind study in 120 patients undergoing laparoscopic (LC) cholecystectomy, divided into 2 groups of 60 patients each. Group B received a 30 ml intraperitoneal injection of 0.25% bupivacaine along with an injection of Ketorolac 30 mg intravenously, and group A received a 30 mg injection of Ketorolac intravenously along with a local infiltration injection of 0.25% bupivacaine, 5 ml each in all 4 ports at the end of surgery. Postoperative; the investigator, who was unaware of the procedure, rated the pain with a visual analog scale (VAS) at 1, 6, 12 and 24 hours after surgery. Injection Nalbuphine 5 mg was administered intravenously as rescue pain reliever at the patient’s request during the first 24 hours.
Results: The VAS results of the 2 groups show that group B has less results compared to group A, although it was statistically insignificant (p> 0.05). Also, the need for emergency analgesic treatment was significantly lower in group B compared to group A (p <0.00).
Conclusion: At the end of the study, we concluded that the intraperitoneal infiltration of bupivacaine together with the injection of Ketorolac is more effective in reducing pain after LC.
Keywords :Ketorolac injection, laparoscopic pain after cholecystectomy, intraperitoneal and operative Bupivacaine infusion
Cite This Article:
Please cite this article in press Maham Shahbaz et al, A comparative study of inj. Ketorolac along with infiltration of inj. Bupivacaine at operation site & inj. Ketorolac along with intra-peritoneal infiltration of inj. Bupivacaine for pain relief after post laparoscopic cholecystectomy., Indo Am. J. P. Sci, 2021; 08(01).
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