Role and Effectiveness of Intraperitoneal Bupivacaine in Post-Operative Pain Management after Laparoscopic Cholecystectomy

Lal Shehbaz; Bashir Ahmed; Kamlaish .; Saqib Basar; Ahmed Ali

doi:10.29054/apmc/2015.312

Lal Shehbaz Resident Emergency Medicine Department of Emergency Medicine, Ziauddin University Hospital, Karachi
Bashir Ahmed Assistant Professor, Anesthesiology and Surgical ICU, Dow University of Health Sciences, Civil Hospital, Karachi
Kamlaish . Consultant Anesthetist, Dow University of Health Sciences, Civil Hospital, Karachi
Saqib Basar House officer, Dow University of Health Sciences, Civil Hospital, Karachi
Ahmed Ali Research Fellow Karachi

DOI: https://doi.org/10.29054/apmc/2015.312

Keywords: intra peritoneal bupivacaine, laparoscopic cholecystectomy, post-operative pain management

Abstract

To study the effectiveness of intraperitoneal bupivacaine in the pain management of patients who had laparoscopic cholecystectomy, and comparison with a control group. Objectives: The purpose of the study is to find out the efficacy of intraperitoneal bupivacaine injection, for post-operative pain management in patients following laparoscopic cholecystectomy. Material & Methods: The method of study is a randomized control trial, Two groups of people were selected at random from a pool of 100 patients, each group had 50 patients each. One group did not receive intraperitoneal bupivacaine, while the other group was injected 20ml of bupivacaine (.25%) intraperitoneally, in the sub diaphragmatic space on the right side along with in the bed of the gall bladder. Results: The post-operative mean abdominal pain score using the VAS scale in both groups was calculated using at different intervals and recorded as 1.34 +/-0.43 cm in the control group and 2.54 +/- 0.26 cm in the bupivacaine group at zero hours, , 2.11 +/- 0.32 cm in control group and 2.98 +/- 0.54 cm in bupivacaine group at two hours, 2.98 +/- 1.05 cm in control group and 3.24 +/- 0.84 cm in bupivacaine group at four hours while 3.13 +/- 1.21 cm in control group and 4.59 +/- 1.32 cm in bupivacaine group at six hours were recorded. The efficacy is recorded as 36.67% in control group and 6.67% in bupivacaine group while 63.33% in control group and 93.33% in bupivacaine group. Conclusion: For post-operative pain relief in laparoscopic cholecystectomy patients, intra peritoneal bupivacaine injection is an effective method.