What is it about?
Pre-Emptive Oral Gabapentin for Postoperative Laproscopic Shoulder Pain Relief in Patients
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Why is it important?
Background: In laparoscopic surgery acute postoperative shoulder tip pain is common entity despite of the use of new drugs and novel drug delivery modalities, studies have shown that acute post-operative pain continues to be under managed. We tried to evaluate efficacy of oral gabapentin for the relief of postoperative pain after laparoscopic surgery. Objective: To evaluate the effect of oral Gabapentin on post operative shoulder pain after abdominal laparoscopy. Method: a prospective, randomized, clinical 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 anaesthesia. 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 Visual Analog Scale (VAS) in the beginning of surgery and 0, 2, 4, 8, 12,18,24 hours after the surgery. Results: VAS score was lower in Group G when compared to Group M throughout the different time interval during first 24 hours. The incidence of post operative laproscopic shoulder pain in group M was 21 compared to group G where it was 12 in first 24 hours post operatively.
Perspectives
Background: In laparoscopic surgery acute postoperative shoulder tip pain is common entity despite of the use of new drugs and novel drug delivery modalities, studies have shown that acute post-operative pain continues to be under managed. We tried to evaluate efficacy of oral gabapentin for the relief of postoperative pain after laparoscopic surgery. Objective: To evaluate the effect of oral Gabapentin on post operative shoulder pain after abdominal laparoscopy. Method: a prospective, randomized, clinical 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 anaesthesia. 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 Visual Analog Scale (VAS) in the beginning of surgery and 0, 2, 4, 8, 12,18,24 hours after the surgery. Results: VAS score was lower in Group G when compared to Group M throughout the different time interval during first 24 hours. The incidence of post operative laproscopic shoulder pain in group M was 21 compared to group G where it was 12 in first 24 hours post operatively.
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This page is a summary of: Pre-Emptive Oral Gabapentin for Postoperative Laproscopic Shoulder Pain Relief in Patients Undergoing Elective Abdominal Laproscopic Surgeries, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6119.12.
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