Health Condition 1: K659- Peritonitis, unspecified
Conditions
Interventions
Intervention1: Rectus sheath Block under ultrasound guidance with Bupivacaine.: Rectus sheath Block with Bupivacaine will be given by me under ultrasound guidance at the end of surgery for post-operat
Sponsors
Jawaharlal Institiute of Postgrduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: All individuals with 18-70years of age, undergoing emergency midline (both supra and infra umbilical) laparotomy surgeries belonging to American Society of Anaesthesiologistâ??s category 1 to 3 in JIPMER.
Exclusion criteria
Exclusion criteria: i.Patients requiring ventilator support. ii.Patients having coagulopathy or bleeding disorders. iii.Patients with severe hepatic or renal impairments. iv.Patients having local abdominal wound infections. v.Pregnant women vi.Allergy to local anesthetics vii.Patients not willing for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the analgesic effect in the post-operative period through bilateral rectus sheath block with Bupivacaine and local infiltration with Bupivacaine by using the Visual Analogue Scale (VAS)Timepoint: Time in hours.Visual Analogue Scale (VAS) is assessed at 1,4,8,12,24 hours after surgery to detect any pain in both bilateral rectus sheath block and local infilteration technique. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of post-operative nausea,vomiting.Timepoint: Number in numericals.The number of episodes of nausea and vomiting in the first 24 hours post-operative period is assessed using a PONV Impact Scale Score which consists of two quessionaire and adding the numerical number corresponding to the response to both the questions.;Patient satisfaction of post-operative analgesia in the first 24 hours.Timepoint: Number in numericals.patient satisfaction of analgesia is assessed in the post-opeartive period using LIKERTS Scale. 1-Very dissatisfied 2-dissatisfied 3-unsure 4-satisfied 5-very satisfied. ;Time to requisition of first analgesic.Timepoint: Time in minutes/hours.Time required for first analgesic for the patient is noted in the post-opeartive period according to the need of the patient in both the groups.;To compare the Heart rate,Blood pressure,Saturation and Respiratory rate in the two groups in the postoperative period.Timepoint: Time in minutes/hours.Baseline Heart rate in beats per minute,Blood pressure in millimeters of mercury,Saturation in percentage and Respiratory rate per minute is noted before surgery and after extubation and also every 4th hourly till 12 hours and then at 24 hours.;To compare the morphine consumption in the post-operative period between the two groups.Timepoint: Time in minutes/hours.Cumulative morphine consumption in milligrams in the first 24 hours is noted in the post-opearative period according to the requirement in both the groups under study. | — |
Countries
India
Contacts
Public ContactDr Srinivasan Swaminathan
Jawaharlal Institute of Postgraduate Medical Education and Researc
Outcome results
None listed