Randomized controlled study of intraincisional infiltration vs intraperitoneal instillation of standardized dose of ropivacaine 0.2% in post-laparoscopic cholecystectomy pain: Do we really need high doses of local anesthetics-Time to rethink!
Surgical Endoscopy Jan 26, 2018
Kaushal-Deep SM, et al. - Researchers conducted a randomized, triple-blind, placebo-controlled study by standardizing dose of local anesthetic, to perform a comparison of the effectiveness of intraperitoneal against intraincisional use of ropivacaine 0.2% for post-laparoscopic cholecystectomy pain relief. Compared to intraperitoneal group and controls, the intraincisional use of injection ropivacaine at its minimum concentration of 0.2% in minimal doses of 1 ml/cm at the end of the procedure provided markedly more post-operative analgesia. However, the use of intraperitoneal ropivacaine was desirable for controlling shoulder pain.
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