Tariq Mahmood Mufti.
Pre-emptive Analgesia with Local Anesthetic for Cesarean Section.
J Surg Pak Jan ;7(2):22-4.

A case control prospective randomized study was carried out at Military Hospital Rawalpindi to see the pre-emptive analgesic effects of bilateral ilioinguinal nerve block with 0.5% bupivacaine on postoperative pain in 40 patients, who had caesarean section with Pfannensteil incision under general anaesthesia. Patients received nerve block just before the application of skin stitches. Pain assessment was done on a linear visual analogue scale. The pre-emptive analgesia was achieved for almost twelve hours in 80% of the patients during immediate postoperative period. The results were compared with a control group of sixty patients and the standard duration of action of the drug. It is concluded that by putting in the bilateral ilioinguinal nerve block pre-emptive analgesia achieved remained time limited related to the duration of action of the drug.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com