Abstract Issue

Volume 13 Issue 7 (July) 2024

Original Articles

Comparison of two strategies of post-caesarean pain relief - Local Bupivacaine Infiltration versus Intravenous Paracetamol Infusion
Dr. Lakshmi C, Dr. Kalesh P S, Dr. Thanuja R, Dr. Haridadeeswaran T.K., Dr. Sagarika U L

Post-caesarean pain being moderate to severe in nature necessitates the requirement of optimal analgesia for early autonomy and mobility of mother to care the newborn. Pain relief can be provided either locally or systemically. 66 post-spinal caesarean parturients were randomized to 2 groups (B&P). At the time of wound closure, Group B received Local Infiltration with 20ml of Bupivacaine (0.25%) and Group P received IV infusion Paracetamol (1G stat) and continued 8th hourly. In the first 8 hours after surgery, VAS <4 was 24 in Group B (14 in Group P)(p=0.04). Mean duration of analgesia in Group B was 364.39 ± 213.12mins (230.61 ± 43.91mins in Group P) (p <0.001). The first request for rescue analgesia in Group B was between 5-8 hrs in 29 patients (26 patients within 4hrs in Group P). Local infiltration with Bupivacaine (0.25%) is a highly cost-effective technique with rapid and longer post-operative analgesia, fewer rescue analgesic requirement and better quality of analgesia than intravenous Paracetamol (1G 8th hourly).

 
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