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Pre-Emptive Oral Gabapentin for Postoperative Laproscopic Shoulder Pain Relief in Patients Undergoing Elective Abdominal Laproscopic Surgeries

Niraj Rathod, Assistant Professor, Department of Anesthesia, Smt. B.K. Shah Medical Institute and Research Center, Pipariya, Vagodiya, Baroda, Gujrat 391760, India. , Rahul Chaudhary1 , Niraj Rathod2 , Chaitri Shah3

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Indian Journal of Anesthesia and Analgesia 6(1):p 87-90, Jan-Feb 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.12

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Rahul chaudhary, Niraj Rathod, Chaitri Shah. Pre-Emptive Oral Gabapentin for Postoperative Laproscopic Shoulder Pain Relief in Patients Undergoing Elective Abdominal Laproscopic Surgeries. Indian J Anesth Analg. 2019;6(1):87-90.

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

Abstract

Background: In laparoscopic surgery acute postoperative shoulder tip pain is a common entity despite the use of new drugs and novel drug delivery modalities, studies have shown that acute post-operative pain continues to be undermanaged. We tried to evaluate the efficacy of oral gabapentin for the relief of postoperative pain after laparoscopic surgery. Objective: To evaluate the effect of oral Gabapentin on postoperative shoulder pain after abdominal laparoscopy. Method: a prospective, randomized, clinically controlled study was conducted on 60 ASA grade I & grade II patients of either sex, aged between 18 to 65 years, planned for laparoscopic abdominal surgery under general anesthesia. Group G: 30 patients would receive 600 mg oral gabapentin 1 hour prior to surgery. Group M: 30 patients would receive tab multivitamin 1 hour prior to surgery. After that presence of post-operative shoulder pain and its severity was assessed by a Visual Analog Scale (VAS) at the beginning of surgery and 0, 2, 4, 8, 12,18,24 hours after the surgery. Results: The VAS score was lower in Group G when compared to Group M throughout the different time intervals during the first 24 hours. The incidence of post-operative laparoscopic shoulder pain in group M was 21 compared to group G where it was 12 in the first 24 hours postoperatively. 

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Rahul chaudhary, Niraj Rathod, Chaitri Shah. Pre-Emptive Oral Gabapentin for Postoperative Laproscopic Shoulder Pain Relief in Patients Undergoing Elective Abdominal Laproscopic Surgeries. Indian J Anesth Analg. 2019;6(1):87-90.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6119.12

Keywords

Postoperative Laproscopic Shoulder Pain; Gabapentin; VAS Score; Analgesic.

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