Simin Azemati1, M B Khosravi. 1. Department of Anesthesia, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
STUDY OBJECTIVE: To compare the effect of the bilateral rectus sheath block (BRSB) by bupivacaine in decreasing postlaparoscopic pain with the intraperitoneal (IP) and intraincisional (II) use of this drug. DESIGN: Randomized, double-blind, clinical trial (Canadian Task Force Classification I). SETTING:University teaching hospital. PATIENTS: Ninety-one women with unexplained infertility. MEASUREMENTS AND MAIN RESULTS: Patients were randomly allocated to one of three groups. In group I, BRSB was performed with 25 mg of bupivacaine. For groups II and III, IP and II instillation, respectively, of 25 mg of bupivacaine was performed. Postoperative pain was assessed by visual analog pain score (VAS) 1, 6, 10, and 24 hours postoperatively. The VAS was significantly lower in group I at 6 hours (p <.001) and 10 hours (p <.004) after laparoscopy. CONCLUSION:Bilateral rectus sheath block can effectively decrease postlaparoscopic pain at 6 and 10 hours after the operation when compared with IP and II use of bupivacaine.
RCT Entities:
STUDY OBJECTIVE: To compare the effect of the bilateral rectus sheath block (BRSB) by bupivacaine in decreasing postlaparoscopic pain with the intraperitoneal (IP) and intraincisional (II) use of this drug. DESIGN: Randomized, double-blind, clinical trial (Canadian Task Force Classification I). SETTING: University teaching hospital. PATIENTS: Ninety-one women with unexplained infertility. MEASUREMENTS AND MAIN RESULTS:Patients were randomly allocated to one of three groups. In group I, BRSB was performed with 25 mg of bupivacaine. For groups II and III, IP and II instillation, respectively, of 25 mg of bupivacaine was performed. Postoperative pain was assessed by visual analog pain score (VAS) 1, 6, 10, and 24 hours postoperatively. The VAS was significantly lower in group I at 6 hours (p <.001) and 10 hours (p <.004) after laparoscopy. CONCLUSION: Bilateral rectus sheath block can effectively decrease postlaparoscopic pain at 6 and 10 hours after the operation when compared with IP and II use of bupivacaine.
Authors: Jin Soo Kim; Jong Bum Choi; Sook Young Lee; Wook Hwan Kim; Nam Hyun Baek; Jayoun Kim; Chu Kyung Park; Yeon Ju Lee; Sung Yong Park Journal: Medicine (Baltimore) Date: 2016-08 Impact factor: 1.889