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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Comparison of the Analgesic Efficacy of Wound Infiltration with Tramadol versus Bupivacaine for Postoperative Pain Relief in Caesarean Section Under Subarachnoid Block: A Randomized Controlled Trial
Dr. Ruchika Kathuria, Dr. Vibha Mehta, Dr. Amanpreet Singh, Dr. Rajat Kathpal

Background: We intend to compare the wound infiltration with tramadol or bupivacaine on postoperative pain relief in patients undergoing caesarean section under subarachnoid block.Materials &Methods:A sample size of 40 was taken in each group. Patients belonging to group T received tramadol hydrochloride 2 mg/kg in 20 mL of 0.9% normal saline while those belonging to group B received 20 mL of 0.25% isobaric bupivacaine. Drugs used in the study were prepared by an investigator not involved with patient’s enrollment or data collection. The study drug was administered subcutaneously at the time of skin closure on both sides of incision by the operating obstetrician. NRS was assessed at 0, 1, 2, 6, 12 and 24 h after arrival in the recovery room or ward by the anaesthesiologist who was unaware of the drug administered for wound infiltration. Diclofenac sodium 75 mg IV and Paracetamol (1gms) IV was administered as a rescue analgesic if at any time NRS is more than 4 or the patient complained of pain. In the postanesthesia care unit (PACU) and ward, pain was assessed using a Numerical Rating Scale. The consumption of ondansetron and the rescue analgesics (Diclofenac and Paracetamol) over the first 24 h following surgery was noted.Results: Mean NRS was significantly higher among patients of group T in comparison to patients of group B at 6 hours, 12 hours and 24 hours. Mean time to first rescue analgesia was significantly higher among patients of group T in comparison to patients of group B. Total dose of analgesia consumed among patients of group B was significantly higher as compared to patients of group T.Conclusion: Significantly better results were obtained among patients of tramadol group in comparison to bupivacaine group.

 
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