188320

Multimodal Analgesia after Laparoscopic Cholecystectomy; A Comparative Study Between Three Different Techniques

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

-

Abstract

Patients undergoing laparoscopic cholecystectomy often experience severe post-operative pain and may develop into chronic pain.current study compared the efficacy and safety of intraperitoneal instillation of bupivacaine alone, intraperitoneal instillation of bupivacaine and dexmedetomidine; and ultra-sound guided transversus abdominis plane block for post-operative pain relief after laparoscopic cholecystectomy.This prospective study was conducted on 90 patients undergoing laparoscopic cholecystectomy. Patients were randomized into three groups: group I [n=30]: patients will be given Intraperitoneal bupivacaine 50 ml 0.25%; group II [n=30]: patients will be given Intraperitoneal bupivacaine 50 ml 0.25% + dexmedetomidine 1μg/kg and group III[n=30]: patients Will receive bilateral in-plane ultrasound guided transversus abdominis plane block with of bupivacaine 0.25% . At the end of surgery. Postoperative VAS pain scores, time to first analgesic requirement, total dose of rescue analgesic, hemodynamic parameters and incidence of postoperative nausea and vomiting were all recorded.VAS scores were significantly lower in group III and group II compared with group I postoperative. Total dose of rescue analgesic was significantly lower in group III compared with group II and group I. Time to the first analgesic dose was significantly longer in group III and group II compared to group I . There was increased incidence of postoperative nausea and vomiting in group III.T A P block is more effective in postoperative analgesia.

DOI

10.21608/bjas.2019.188320

Keywords

Postoperative Analgesia, Laparoscopic cholecystectomy, intraperitoneal instillation, T A P block

Authors

First Name

F.A.

Last Name

Abd El- Fatah

MiddleName

-

Affiliation

Anesthesiology and ICU Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

E.F.

Last Name

Gad Allah

MiddleName

-

Affiliation

Anesthesiology and ICU Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

E.S.

Last Name

Abd El-Azeem

MiddleName

-

Affiliation

Anesthesiology and ICU Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

First Name

E.M.

Last Name

Abd ElAzeem

MiddleName

-

Affiliation

Anesthesiology and ICU Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

-

City

-

Orcid

-

Volume

4

Article Issue

1

Related Issue

23361

Issue Date

2019-03-01

Receive Date

2019-08-09

Publish Date

2019-03-01

Page Start

103

Page End

105

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_188320.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=188320

Order

28

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Multimodal Analgesia after Laparoscopic Cholecystectomy; A Comparative Study Between Three Different Techniques

Details

Type

Article

Created At

23 Jan 2023