IJSS Journal of Surgery

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/157948

Editor: Dr Mahesh M Pukar
ISSN: 2395-1893

Frequency: Once in two months

Language: English

Open Access Peer-reviewed journal

Web site: https://surgeryijss.com/

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Browsing IJSS Journal of Surgery by Subject "Analgesia"

Now showing 1 - 2 of 2
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    Comparative Study of Effects of Dexmedetomidine as Adjuvant to Bupivacaine and Bupivacaine Alone in Epidural Anesthesia.
    (2016-03) Singh, Vishwadeep; Singh, Geeta; Srivastava, Priyank; Singh, Lalit
    Background: Epidural anesthesia is one of the most used anesthetic technique for a lower abdominal and lower limb surgeries. Aim: The aim of the present study was to compare dexmedetomidine as an adjuvant with bupivacaine with plain bupivacaine in epidural anesthesia with respect to onset and duration of sensory and motor block, duration of analgesia, hemodynamic changes, adverse effects and sedation. Materials and Methods: A total of 60 patients of either sex with age ranging from 18 to 65 years and belonging to ASA Grades I and II physical status, scheduled for surgery under epidural anesthesia. The patients were divided into two groups with 30 patients each. Group 1 was given 20 ml 0.5% plain bupivacaine + 0.5 ml saline and Group 2 was given 20 ml 0.5% plain bupivacaine + 1 μg/kg dexmedetomidine. Results: The time of sensory onset up to T10 was shorter in Group 2 (7.10 ± 2.10 min) as compared to Group 1 (15.02 ± 2.6 min). The time of motor block onset to bromage 3 was shorter in Group 2 (14.50 ± 5.18 min) as compared to Group 1 (20.36 ± 3.4 min). The time of motor block regression to bromage 0 was longer in Group 2 (248.70 ± 28.40 min) as compared to Group 1 (152 ± 12.2 min). The time of sensory block regression and the duration of analgesia were also longer in Group 2. Conclusion: Dexmedetomidine seems to be a good choice as an adjuvant with bupivacaine in epidural anesthesia.
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    Pain Tolerance in Post-cardiovascular Operative Patients and Effectiveness of Analgesia in Pain Management.
    (2016-05) Asuku, Lawal Gabriel; Abisola, Ogunyanwo Abiodun; Taiwo, Ogunfowora Olumide; Ufuoma, Adugbo Annabelle
    Background: Post-surgical pain after cardiac and vascular surgery has long been overlooked and considered insignificant. This issue has only been recently acknowledged as an important problem and a plausible cause of persistent pain and long-term suffering. Different patients experience pain tolerance in varying degrees and despite the use of many analgesia schemes, perioperative pain management is still not perfect, notably in major surgery like cardiac and vascular surgeries. Objective: To determine various pain tolerance levels in patients after cardiac and vascular surgery and also to determine the efficacy of analgesia in post-surgical pain. Materials and Methods: The perioperative pain intensity at rest and in activity was investigated using the visual analog scale (VAS = 10 cm) in 41 patients; (male/female =33/8), after cardiovascular surgery, notably; ACGB, valve reconstruction, carotid endarterectomy, lower limb revascularization, and limb amputation. Results are given as mean ± standard deviation, and all participants were asked to assess their analgesic satisfaction by 5-point scale: 0 = Very poor, 5 = Excellent. The correlation between patients’ pain intensity and satisfaction was calculated using Pearson’s coefficient (R). Results: The pain intensity at rest was 3.12 ± 2.55 cm (max = 9.0; min = 0) while intensity during activity (during movement or cough) - was 4.93 ± 3.27 cm (max = 10.0; min = 0). We also found high positive correlation between pain intensity at rest and during activity (R = +0.86; P < 0.00001). The participants evaluated their analgesic satisfaction to be 4.02 ± 1.24 (max = 5.0; min = 0) while there was moderate negative correlation between analgesic satisfaction and pain intensity at rest (R = −0.6; P < 0.00004) and also between analgesic satisfaction and pain intensity in activity (R = −0.47; P = 0.0021). Conclusion: Patients who had moderate pain intensity after cardiovascular surgery presented with a rather high satisfaction with their analgesia.