Title: The Study of Intraperitonel Instillation of Ropivacaine after Laproscopic Surgeries
Authors: Dr Aravindakumar R, Prof. Dr Dhanasekaran C
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.200
Abstract
Aims and Objectives: To prove the efficacy of intraperitoneal instillation of 0.2% ropivacaine for postoperative pain management in patients undergoing laproscopic surgeries.
Method of Collection of Data: Forty patients aged between 20 years and 60 years, of physical status ASA grade 1 and ASA grade 2 undergoing elective laproscopic surgeries were included in the study after getting ethical clearance. All surgeries were carried out under general anaesthesia and patients were instructed about grading the intensity of pain as per visual analogue scale in the postoperative period. Patients received intraperitoneal instillation of 2mg/kg ropivacaine diluted in 100ml saline at the end of surgery before the removal of trocars.
Results: In our study, we observed that heart rate, systolic &diastolic blood pressure, respiratory rate, SPO2 remained similar over the periods.VAS score at different time intervals and overall VAS in 8hours was significantly lower (1.06±0.76) and the time to first request of analgesia (min)was longest (451±12.85). No patient in our study developed any significant side effects.
Conclusion: On the basis of our study, we concluded that the intraperitoneal instillation of 2mg /kg ropivacaine provides excellent analgesia in the postoperative period after laproscopic surgery.
Keywords: Intraperitoneal ropivacaine, laproscopic surgery, postoperative pain, ropivacaine.
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