Local Lidocaine 2% in Postoperative Pain Management in Cesarean Delivery
Abstract
Objective:To evaluate the ability of lidocaine local injection to relieve postoperative pain in cesarean delivery.
Materials and methods:This double blinded clinical trial was conducted in a university on 100 women underwent elective cesarean section during March 2012 till March 2013. Patients were divided to two groups with random block method (n = 50 in each group). First group received 4mg/kg lidocaine 2% and its volume was titrated to 30 cc with distilled water. Second group received 30 cc of normal saline. Injections were done in different layers of abdominal wall. Visual analogue scale (VAS) was applied to record 12 hours severity of pain in all patients. Data were analyzed by SPSS software using one way ANOVA parametric test.
Results: VAS average was 4/13 in lidocaine group and 4/81 in placebo group. The need for analgesic use was 300 mg in lidocaine and 346 mg in normal saline patients and the difference was significant (p < 0.000).
Conclusion:Local use of lidocaine 2% in cesarean incision reduced post operative pain and need to use analgesic agents.
Cunningham FG, Kenneth J. Williams Obstetrics, 23rd ed. New York: McGraw-Hill, 2010: 593-8.
Ronald D, Miller RD. Miller's anesthesia. 7th edition. Churchill Livingstone: Saunders, 2010: 2758-71.
Ritter J, Lewis L, Mant T, Ferro A. A Textbook of Clinical Pharmacology and Therapeutics, 5th ed (A Hodder Arnold Publication) CRC Press, 2008: 312-3.
Gibbs R, Karlan B, Haney A, Nygaard I. Danforth's Obstetrics & Gynecology 9 edition. Lippincott: Williams & Wilkins, 2003: 491.
Moradi S, Naghavi N. Comparison of bupivacaine and lidocaine use for postoperative pain control in endodontics. Iran Endod J 2010; 5: 31-5.
Lowenstein L, Zimmer EZ, Deutsch M, Paz Y, Yaniv D, Jakobi P. Preoperative analgesia with local lidocaine infiltration for abdominal hysterectomy pain management. Eur J Obstet Gynecol Reprod Biol 2008; 136: 239-42.
Rosaeg OP, Morrison S, MacLeod JP. Anaesthetic management of labour and delivery in the parturient with mitochondrial myopathy. Can J Anaesth 1996; 43: 403-7.
Beaussier M, Bouaziz H, Aubrun F, Belbachir A, Binhas M, Bloc S et al. [Wound infiltration with local anesthetics for postoperative analgesia. Results of a national survey about its practice in France]. Ann Fr Anesth Reanim 2012; 31: 120-5.
Abbas MH, Hamade A, Choudhry MN, Hamza N, Nadeem R, Ammori BJ. Infiltration of wounds and extraperitoneal space with local anesthetic in patients undergoing laparoscopic totally extraperitoneal repair of unilateral inguinal hernias: a randomized double-blind placebo- ontrolled trial. Scand J Surg 2010; 99: 18-23.
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| Issue | Vol 9, No 1 (March 2015) | |
| Section | Original Articles | |
| Keywords | ||
| VAS cesarean section lidocaine 2% | ||
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