COMPARISON OF ANALGESIC EFFICACY OF WOUND INFILTRATION WITH COMBINATION OF BUPIVACAINE WITH TRAMADOL VERSUS BUPIVACAINE WITH DEXMEDETOMIDINE FOR POSTOPERATIVE PAIN RELIEF IN CAESAREAN

DR.HASSAAN MUHAMMED; Dr.SRAVANTHI K L L; Dr.K.MOHAN

Volume : X, Issue : II, February - 2020

COMPARISON OF ANALGESIC EFFICACY OF WOUND INFILTRATION WITH COMBINATION OF BUPIVACAINE WITH TRAMADOL VERSUS BUPIVACAINE WITH DEXMEDETOMIDINE FOR POSTOPERATIVE PAIN RELIEF IN CAESAREAN

Dr. Hassaan Muhammed, Dr. Sravanthi K L L, Dr. K. Mohan

Abstract :

Background: Wound infiltration is one of the simplest and safe methods for postoperative pain relief in the Caesarean section. Materials and Methods: 60 pregnant women of age group 18–35 years, undergoing elective cesarean section under spinal anesthesia were randomly allocated to Group I ( BT, n=30 ) where patients received wound infiltration with 2mg/kg Tramadol diluted in 30 mL 0.25% Bupivacaine and Group II ( BD, n=30 ) where patients received wound infiltration with 1 μg/kg Dexmedetomidine diluted in 30 mL 0.25% Bupivacaine at the end of surgery. Visual Analogue scale at 0, 2, 4, 6, 8, 12, and 24 hours and any adverse effects with study drugs were assessed during the first 24 hours postoperatively. Results: The mean VAS score was significantly low in the BD group compared to the BT group at 6 hrs, 8 hrs, and 12 hrs with no significant side effects. Conclusion: A combination of Bupivacaine with Dexmedetomidine provides superior pain relief compared to Bupivacaine with Tramadol.