Abid Halim, Nasrullah, Mustafa, Zahid Shah.
Effectiveness of Bupivacaine in surgical wounds, experience in a small district hospital.
J Med Sci Nov ;14(1):55-6.

Background: Pain in surgical wounds is of great concern to surgeons as well as patients undergoing surgery. To find out effectiveness of long acting local anaesthetics in surgical wounds, this study was conducted in a small district hospital. Research Methodology: This is a prospective study comparing the effectiveness of bupivacaine infiltration in surgical wounds against no infiltration. The study is conducted over a period of one year i.e. December 2001- December 2002 in a small district hospital. A total of 100 cases with and without infiltration were selected, randomly. The pain free interval from the time of infiltration to the first dose of analgesia was recorded. Similarly the average analgesia requirement in first 24 hrs was recorded. Results: The average pain free interval in infiltrated group was 9.1 hours as compared to 7.125 hrs in the controlled group. Similarly the analgesia required was 95mg against 175mg. Conclusion: The results are encouraging. Early ambulation was noticed and the procedure is relatively free of complications. There was also a psychological boast for patients. We recommend that infiltration of bupivacaine should be a routine in surgical wounds. This is a small study and further larger studies are also recommended.

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