A Comparative Study of Intraperitoneal Nebulization Versus Intraperitoneal Instillation of Ropivacaine Hydrochloride and Morphine Sulphate for Postoperative Analgesia in Laparoscopic Surgery

Solanki Rekha N; Gosai Nita D; Thakkar Jayshree M; Dr Bipin M Patel; Dr Bhargav Virani

Volume : III, Issue : X, October - 2014

A Comparative Study of Intraperitoneal Nebulization Versus Intraperitoneal Instillation of Ropivacaine Hydrochloride and Morphine Sulphate for Postoperative Analgesia in Laparoscopic Surgery

Solanki Rekha N, Gosai Nita D, Thakkar Jayshree M, Dr Bipin M Patel, Dr Bhargav Virani

Abstract :

Aim: To study the effect of intraperitoneal local anesthetic administration for postoperative pain relief after laparoscopic surgeries. Method: 60 patients of ASA I & II, aged 18–60years were divided in two groups. At the end of surgery Ropivacaine (0.75%) 2mg/kg & morphine 1% 2mg was nebulized in group N and instilled in group I .Visual analogue score (VAS) for static and dynamic pain, duration of analgesia, total opiate consumption during first twenty four hours, and complications were noted. Results: VAS(at rest) at 0, 12 and 18 hours was 5.29 �1.03 vs. 16.30 �3.61, 15.23�2.25 vs. 32.21�1.53 and 29.46�2.05 vs. 38.60�2.71 respectively(P