Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Comparison of Preemptive Intraperitoneal Instillation and Nebulisation of 0.5% Ropivacaine in Laparoscopic Cholecystectomy for Post-operative Pain Relief

Anupam Sharma , Jyoti Pathania1 , Meenal Aggarwal2 , Anupam Sharma3 , Ajay Sood4 , Girish Sharma5 , Bunty Sirkek6

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 6(4):p 1444-1448, July-August 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6419.54

How Cite This Article:

Jyoti Pathania, Meenal Aggarwal, Anupam Sharma et al. Comparison of Preemptive Intraperitoneal Instillation and Nebulisation of 0.5% Ropivacaine in Laparoscopic Cholecystectomy for Post-operative Pain Relief. Indian J Anesth Analg. 2019;6(4): 1444-1448.

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Objective: The etiology of postoperative pain in patients undergoing laproscopic cholecystectomy is multifactorial consisting of incisional and visceral pain from the operation itself and parietal pain from trauma and irritation to the peritoneum and diaphragm. Design: This randamozied single blind study was conducted on 60 patients of either sex undergoing laproscopic cholecystectomy under general anesthesia. Group A [n=30] received 15 ml of 0.5% ropivacaine by instillation and group B [n=30] received 15 ml of 0.5% ropivacane intraperitoneally by piston type of nebulization 10 minutes before surgery and both the groups got 5 ml [0.5%] ropivacaine at the trocar site at the end of surgery. Results: Patients in both the groups were comparable with respect to age, sex and weight [p>0.05]. VAS score for incisional pain was significantly lower in Group A at 1hour and 8 hrs postoperatively [p=0.02 and p=0.04] respectively. At all other intervals the incisional pain, Visceral pain and shoulder tip pain was comparable amongst the two groups [p>0.05]. Time to first analgesia was longer in group A [2.29 hrs] as compared to Group B [1.66 hrs] but was stastically insignifiacant [p>0.5]. Mean total number of analgesic used was 1.4 in both the groups [p=1]. Conclusion: Intraoperative subdiaphgramatic and intraperitoneal instillation of ropivacaine 0.5% is beneficial and better modality of pain relief because of ease of technique and better VAS scores as compared to intrperitoneal nebulization of ropivacaine.

References

No records found.


About this article

Cite this article

Jyoti Pathania, Meenal Aggarwal, Anupam Sharma et al. Comparison of Preemptive Intraperitoneal Instillation and Nebulisation of 0.5% Ropivacaine in Laparoscopic Cholecystectomy for Post-operative Pain Relief. Indian J Anesth Analg. 2019;6(4): 1444-1448.

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6419.54

Keywords

Intraperitoneal nebulization; Instillation; Ropivacaine; Laproscopic cholecystectomy; Preemptive.

Article Level Metrics

Last Updated

Tuesday 14 July 2026, 10:02:59 (IST)

5690

Accesses

4
679
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share