Use of combined wound and intraperitoneal ropivacaine instillation in laparoscopic cholecystectomy for postoperative pain management: A prospective randomized study at a referral center in Northeast India

2019 ◽  
Vol 33 (1) ◽  
pp. 16
Author(s):  
MohanKant Thakur ◽  
KshetrimayumRaju Singh ◽  
LaishramJaleshwar Singh ◽  
ChongthamArun Kumar Singh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pain Management ◽  
Postoperative Pain ◽  
Randomized Study ◽  
Postoperative Pain Management ◽  
Northeast India ◽  
Prospective Randomized Study ◽  
Referral Center

scholarly journals Effect of laparoscopic cholecystectomy techniques on postoperative pain: a prospective randomized study

2013 ◽  
Vol 85 (4) ◽  
pp. 149 ◽  
Author(s):  
Huseyin Yilmaz ◽  
Oguzhan Arun ◽  
Seza Apiliogullari ◽  
Fahrettin Acar ◽  
Husnu Alptekin ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
Randomized Study ◽  
Prospective Randomized Study

scholarly journals Electroacupuncture Reduces Postoperative Pain and Analgesic Consumption in Patients Undergoing Thoracic Surgery: A Randomized Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Tongyu Chen ◽  
Ke Wang ◽  
Jianjun Xu ◽  
Wen Ma ◽  
Jia Zhou
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Thoracic Surgery ◽  
Sham Group ◽  
Randomized Study ◽  
Postoperative Pain Management ◽  
Enzyme Linked Immunosorbent Assay ◽  
Adjunct Treatment ◽  
Lower Visual Analogue Scale ◽  
Intravenous Analgesia

The aim of this study was to evaluate the effect of electroacupuncture (EA) on postoperative pain management in patients undergoing thoracic surgery. A randomized study was conducted. Ninety-two thoracic surgical patients were randomly divided into an EA group and a sham group. Postoperative intravenous analgesia was applied with a half dose of the conventional drug concentration in both groups. In the EA group, EA treatment was administered for three consecutive days after the surgery with 6 sessions of 30 min each. Compared with the sham group, patients in the EA group had a lower visual analogue scale (VAS) score at 2, 24, 48, and 72 hours and consumed less analgesic after surgery. The incidence of opioid-related adverse effects of nausea was lower in the EA group. The time to first flatus and defecation was also shorter in the EA group. Furthermore, the plasmaβ-endorphin (β-EP) level was higher by radioimmunoassay and the plasma 5-hydroxytryptamine (5-HT) level was lower in the EA group by enzyme-linked immunosorbent assay during the first 72 hr after thoracic surgery. Therefore, EA is suitable as an adjunct treatment for postoperative pain management after thoracic surgery.

scholarly journals Efficacy of methadone for the management of postoperative pain in laparoscopic cholecystectomy: A randomized clinical trial

Medwave ◽  
2021 ◽  
Vol 21 (02) ◽  
pp. e8134-e8134
Author(s):  
Nicolás Arriaza ◽  
Cristian Papuzinski ◽  
Matías Kirmayr ◽  
Marcelo Matta ◽  
Fernando Aranda ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Laparoscopic Cholecystectomy ◽  
Pain Management ◽  
Postoperative Pain ◽  
Randomized Clinical Trial ◽  
Postoperative Pain Management ◽  
Anesthesia Care ◽  
Post Anesthesia Care Unit ◽  
Methadone Group ◽  
Eye Opening

Background Postoperative pain management contributes to reducing postoperative morbidity and unscheduled readmission. Compared to other opioids that manage postoperative pain like morphine, few randomized trials have tested the efficacy of intraoperatively administered methadone to provide evidence for its regular use or be included in clinical guidelines. Methods We conducted a randomized clinical trial comparing the use of intraoperative methadone to assess its impact on postoperative pain. Eighty-six patients undergoing elective laparoscopic cholecystectomy were allocated to receive either methadone (0.08 mg/kg) or morphine (0.08 mg/kg). Results Individuals who received methadone required less rescue morphine in the Post Anesthesia Care Unit for postoperative pain than those who received morphine (p = 0.0078). The patients from the methadone group reported less pain at 5 and 15 minutes and 12 and 24 hours following Post Anesthesia Care Unit discharge, exhibiting fewer episodes of nausea. Time to eye-opening was equivalent between the two groups. Conclusion Intraoperative use of methadone resulted in better management of postoperative pain, supporting its use as part of a multimodal pain management strategy for laparoscopic cholecystectomy under remifentanil-based anesthesia.

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