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Volume 13 Issue 4 (April) 2024

Original Articles

Outcome of continuous wound infiltration of bupivacaine at two different anatomical planes for caesarean analgesia
Dr. Abrar Mohammad, Dr. Premendra Mohan Sharma, Dr. Shamshir Kumar Sonker

Background:Continuous wound infiltration of bupivacaine for cesarean analgesia is a technique used to provide pain relief following cesarean section delivery.The present study was conducted to assess outcome of continuous wound infiltration of bupivacaine at two different anatomical planes for caesarean analgesia. Materials & Methods:60 parturients who underwent elective lower segment caesarean section (LSCS) under spinal anaesthesia were divided into 2 groups. Group I was subcutaneous and group II was preperitoneal. Bupivacaine of 0.25% at 5 mL/h was infused for the next 48 hours. Pain was assessed using numerical rating scale at 1, 2, 6, 24, and 48 hours after surgery. Results: The mean age was 24.6 years in group I and 26.2 years in group II. BMI was 25.1 Kg/m2 in group I and 25.8 Kg/m2 in group II. The mean duration of surgery was 110.4 minutes in group I and 103.5 minutes. The difference was non- significant (P> 0.05). In group I and group II, indication for LSCS was breech presentation seen in 10 and 21, contracted pelvis in 6 and 0 and previous caesarean section in 44 and 39 patients. Gravida 1was present in 8 and 10 and gravida 2 in 52 and 50 respectively. NRS for pain at 1 hour was 3.4 and 3.5, at 2 hours was 2.6 and 2.1, at 6 hours was 2.1 and 1.7, at 24 hours was 1.9 and 1.3 and at 48 hours was 1.3 and 1.1 respectively. The difference was significant (P< 0.05). Conclusion: After Caesarean birth, continuous infusion of bupivacaine via a wound infiltration catheter, either in the preperitoneal or subcutaneous layer, results in similar postoperative pain scores.

 
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