Cargando…

Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy

BACKGROUND: Intraperitoneal instillation of local anesthetics in laparoscopic cholecystectomy (LC) has been used to reduce postoperative pain and to decrease the need for postoperative analgesics. AIMS: This study aimed to compare intraperitoneal instillation of bupivacaine and ropivacaine for posto...

Descripción completa

Detalles Bibliográficos
Autores principales: Sharan, Radhe, Singh, Manjit, Kataria, Amar Parkash, Jyoti, Kamal, Jarewal, Vishal, Kadian, Rohit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020598/
https://www.ncbi.nlm.nih.gov/pubmed/29962601
http://dx.doi.org/10.4103/aer.AER_6_18
_version_ 1783335331772235776
author Sharan, Radhe
Singh, Manjit
Kataria, Amar Parkash
Jyoti, Kamal
Jarewal, Vishal
Kadian, Rohit
author_facet Sharan, Radhe
Singh, Manjit
Kataria, Amar Parkash
Jyoti, Kamal
Jarewal, Vishal
Kadian, Rohit
author_sort Sharan, Radhe
collection PubMed
description BACKGROUND: Intraperitoneal instillation of local anesthetics in laparoscopic cholecystectomy (LC) has been used to reduce postoperative pain and to decrease the need for postoperative analgesics. AIMS: This study aimed to compare intraperitoneal instillation of bupivacaine and ropivacaine for postoperative analgesia in patients undergoing LC. SETTINGS AND DESIGN: This was a prospective, randomized, double-blind study. MATERIALS AND METHODS: After obtaining ethical committee's clearance and informed consent, sixty patients, aged 18–65 years, of either gender, and American Society of Anesthesiologists physical status I to III scheduled for LC were included and categorized into two groups (n = 30). Group A patients received 20 mL of 0.5% bupivacaine intraperitoneally after cholecystectomy and Group B patients received 20 mL of 0.5% ropivacaine intraperitoneally after cholecystectomy. STATISTICAL ANALYSIS: The data were analyzed using paired t-test. The results were analyzed and compared to previous studies. SPSS software version 22 was used, released 2013 (IBM Corp., Armonk, NY, USA). RESULTS: Pulse rate, systolic blood pressure, and diastolic blood pressure were comparatively lower in Group B than in Group A. The visual analog scale (VAS) score was significantly lower in Group B. Rescue analgesia was given when VAS was >6. Verbal rating scale score was significantly lower in Group B, showing longer duration of analgesia in this group. Rescue analgesic requirement was also less in Group B. CONCLUSION: The instillation of bupivacaine and ropivacaine intraperitoneally was an effective method of postoperative pain relief in LC. It provided good analgesia in immediate postoperative period with ropivacaine, providing longer duration of analgesia.
format Online
Article
Text
id pubmed-6020598
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-60205982018-06-29 Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy Sharan, Radhe Singh, Manjit Kataria, Amar Parkash Jyoti, Kamal Jarewal, Vishal Kadian, Rohit Anesth Essays Res Original Article BACKGROUND: Intraperitoneal instillation of local anesthetics in laparoscopic cholecystectomy (LC) has been used to reduce postoperative pain and to decrease the need for postoperative analgesics. AIMS: This study aimed to compare intraperitoneal instillation of bupivacaine and ropivacaine for postoperative analgesia in patients undergoing LC. SETTINGS AND DESIGN: This was a prospective, randomized, double-blind study. MATERIALS AND METHODS: After obtaining ethical committee's clearance and informed consent, sixty patients, aged 18–65 years, of either gender, and American Society of Anesthesiologists physical status I to III scheduled for LC were included and categorized into two groups (n = 30). Group A patients received 20 mL of 0.5% bupivacaine intraperitoneally after cholecystectomy and Group B patients received 20 mL of 0.5% ropivacaine intraperitoneally after cholecystectomy. STATISTICAL ANALYSIS: The data were analyzed using paired t-test. The results were analyzed and compared to previous studies. SPSS software version 22 was used, released 2013 (IBM Corp., Armonk, NY, USA). RESULTS: Pulse rate, systolic blood pressure, and diastolic blood pressure were comparatively lower in Group B than in Group A. The visual analog scale (VAS) score was significantly lower in Group B. Rescue analgesia was given when VAS was >6. Verbal rating scale score was significantly lower in Group B, showing longer duration of analgesia in this group. Rescue analgesic requirement was also less in Group B. CONCLUSION: The instillation of bupivacaine and ropivacaine intraperitoneally was an effective method of postoperative pain relief in LC. It provided good analgesia in immediate postoperative period with ropivacaine, providing longer duration of analgesia. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6020598/ /pubmed/29962601 http://dx.doi.org/10.4103/aer.AER_6_18 Text en Copyright: © 2018 Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sharan, Radhe
Singh, Manjit
Kataria, Amar Parkash
Jyoti, Kamal
Jarewal, Vishal
Kadian, Rohit
Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy
title Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy
title_full Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy
title_fullStr Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy
title_full_unstemmed Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy
title_short Intraperitoneal Instillation of Bupivacaine and Ropivacaine for Postoperative Analgesia in Laparoscopic Cholecystectomy
title_sort intraperitoneal instillation of bupivacaine and ropivacaine for postoperative analgesia in laparoscopic cholecystectomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020598/
https://www.ncbi.nlm.nih.gov/pubmed/29962601
http://dx.doi.org/10.4103/aer.AER_6_18
work_keys_str_mv AT sharanradhe intraperitonealinstillationofbupivacaineandropivacaineforpostoperativeanalgesiainlaparoscopiccholecystectomy
AT singhmanjit intraperitonealinstillationofbupivacaineandropivacaineforpostoperativeanalgesiainlaparoscopiccholecystectomy
AT katariaamarparkash intraperitonealinstillationofbupivacaineandropivacaineforpostoperativeanalgesiainlaparoscopiccholecystectomy
AT jyotikamal intraperitonealinstillationofbupivacaineandropivacaineforpostoperativeanalgesiainlaparoscopiccholecystectomy
AT jarewalvishal intraperitonealinstillationofbupivacaineandropivacaineforpostoperativeanalgesiainlaparoscopiccholecystectomy
AT kadianrohit intraperitonealinstillationofbupivacaineandropivacaineforpostoperativeanalgesiainlaparoscopiccholecystectomy