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

Post-Operative Analgesic Effects of Continuous Wound Infusion with Diclofenac Sodium and Bupivacaine Compared with Intramuscular Diclofenac Sodium and Bupivacaine Wound Infusion in Patients Undergoing Elective Caesarean Section

Suhas M. K.* , Suhas M. K.* , K. R. Radha**

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 2(2):p 79-85, July - December 2015. | DOI: DOI: https://dx.doi.org/10.21088/ijaa.2349.8471.2215.3

How Cite This Article:

Timeline

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

Abstract

 Context: Local anaesthetic injection into the wound is a simple way to relieve pain by direct inhibition of noxious impulses from the site of injury. Another approach to modulate peripheral nociceptive trans-mission is to reduce the local expression of mediators that sensitize nociceptors on afferent fibres by local administration of NSAIDs. Aim: Main aim of the study was to compare post-operative analgesic effects produced by wound infusion of diclofenac sodium and 0.125% bupivacaine mixture with intramuscular diclofenac sodium and 0.125% bupivacaine wound infusion in patients undergoing elective caesarean sections. Settings and Design: Prospective randomized comparative study. Materials and Methods: A prospective comparative study was conducted among 80 pregnant ladies of ASA1/ASA2 status undergoing elective caesarean section under spinal anaesthesia and was randomly allocated to 1 of 2 groups. Group-1: bupivacaine+diclofenac wound infusion (n=40); Group-2: bupivacaine wound infusion+ intramuscular  diclofenac inje-ction (n=40). Postoperative pain was assessed using VNS (verbal numeric scale). Patients with VNS score>4 received Inj. tramadol 50mg IM. VNS score  was  monitored on 1st,2nd,4th,6th,8th,12th,16th,20th and 24th post operative hours. Statistical analysis: Independent sample t test and Pearson’s Chi-square test. Results: p=0.073 for total number of rescue anal-gesics requirement between two groups was statistically not significant but both groups were comparable in line and bar diagram for demographic data and VNS scores. Conclusion:  Bupivacine with diclofenac wound infusion is a novel method of post caesarean analgesia sparring systemic diclofenac and opioid administration.
 
Keywords: Bupivacaine; Diclofenac; Wound Infusion; VNS. 

References

No records found.


About this article

Cite this article

Licence:



Received Accepted Published
N/A N/A N/A
DOI: DOI: https://dx.doi.org/10.21088/ijaa.2349.8471.2215.3

Keywords


Article Level Metrics

Last Updated

Monday 13 July 2026, 12:33:45 (IST)

5653

Accesses

2
678
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