International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
E-ISSN: 2664-3774
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2020, Vol. 3, Issue 4, Part C

Assessing the effectiveness of continuous wound infiltration vs. rectus sheath catheter for postoperative analgesia during laparotomy surgery


Author(s): J Benjamin and P Ravindra Kumar

Abstract: Introduction and Background: Since insufficient pain control can lead to delayed mobilisation, extended hospital stays, and an increased risk of complications, postoperative pain management is an essential part of recuperation after laparotomy surgery. Evaluating the effects on pain relief, opioid intake, patient satisfaction, and safety outcomes, this study seeks to assess the postoperative analgesic efficacy of rectus sheath catheters and continuous wound infiltration in patients having laparotomy.
Materials and Methods: This prospective, randomized, and comparative study was conducted on patients undergoing elective laparotomy under general anesthesia. This study was conducted at the department of Anesthesiology, SS Institute of Medical Sciences, Davangere, Karnataka, India from December 2019 to November 2020. Additional outcome measures included total opioid consumption over the first 24 hours, time to first rescue analgesia, patient satisfaction scores, and the incidence of complications such as catheter-related issues, local site infections, and systemic toxicity. Statistical analysis was performed using appropriate methods, with a p-value of less than 0.05 considered statistically significant.
Results: After surgery, participants who received continuous wound infiltration reported significantly higher levels of discomfort at 6, 12, and 24 hours compared to those who received rectus sheath catheters, according to the study's results. Also, patients who had rectus sheath catheters reported increased happiness with their pain treatment experience overall. The fact that both methods were safe and well-tolerated by patients and that problems occurred at similar rates in both groups demonstrates that they are equally effective.
Conclusion: This study suggests that rectus sheath catheter implantation gives better postoperative analgesia than continuous wound infiltration in laparotomy patients. Low pain scores, less opioid intake, longer time to initial rescue analgesia, and improved patient satisfaction demonstrate that the rectus sheath catheter is a successful and dependable approach for treating postoperative pain after laparotomy.


DOI: 10.33545/26643766.2020.v3.i4c.538

Pages: 190-193 | Views: 48 | Downloads: 23

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International Journal of Medical Anesthesiology
How to cite this article:
J Benjamin, P Ravindra Kumar. Assessing the effectiveness of continuous wound infiltration vs. rectus sheath catheter for postoperative analgesia during laparotomy surgery. Int J Med Anesthesiology 2020;3(4):190-193. DOI: 10.33545/26643766.2020.v3.i4c.538
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