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Study aim
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comparison of local infiltration and intra-peritoneal instillation of Rupivacaine effect on post-op pain, nausea, vomiting and analgesic requirement in laparoscopic cholecystectomy
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Design
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double blinded randomized clinical trial,phase 3 with parallel group design, has control group, on 120 patients, by rand excel analysis
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Settings and conduct
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In this double blinded study, 120 patients which candidate for elective or semi-elective laparascopic cholecystectomy on Madani hospital enrolled and divided to 3 groups randomly. At the end of syrgery and during anaesthesia,first group received 20 cc 0.5%Ropivacaine intra-dermally in port's place, second group as same but intra-peritoneally after cholecystectomy in hepatic bed. And control group received nothing. In recovery room and in 2-4-6-12-24 post-op hours, pulse rate, blood pressure, pain(by visual analogue scale), nausea, vomiting and analgesic requirement were evaluated. The participants and evaluator have no information about group allocation.
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Participants/Inclusion and exclusion criteria
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inclusion criteria: people aged 18-70 yr-cardiologist permission for surgery-no history of headache or migrane- normal renal and hepatic function
exclusion criteria: history of previous surgery in abdomen- concurrent pathology in billiary ducts-conversion to open surgery-severe hemodynamic changes during operation-addiction-cardiac disease
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Intervention groups
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In this double blinded study, 120 patients which candidate for elective or semi-elective laparascopic cholecystectomy on Madani hospital enrolled and divided to 3 groups randomly. First group received 20 cc 0.5%Ropivacaine intra-dermally in port's place, second group at same dosage but intra-peritoneally after cholecystectomy in hepatic bed. And control group received nothing.
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Main outcome variables
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pain-nausea-vomiting-analgesic requirement