Gohar Ali, Rahat Sultan Sahibzada.
Study of Post-Thoracotomy consumption of Morphine in patients undergoing Lobectomy.
J Postgrad Med Inst Jan ;18(1):3-6.

Objective: Adult patients undergoing thoracotomy for lobectomy have been studied for post-operative pain management in the Intensive Care Unit of Cardio-thoracic Department, PGMI/LRH, Peshawar. Material and Methods: 40 patients were divided in two groups, each comprising of 20 patients. Patients in both groups "A" and "B" were comparable in age and procedure and had received the same pre-medication and anasthesia. Patients in group "A" received boluses of IN. Morphine 3 mg 4-6 hourly while patients in group "B" received pre-incisional Bupivacaine 0.25% via intercostal infiltration which was repeated 12 hourly, group "B" also received I/V Morphine when severity of pain demanded so. Pain was scored using Visual Analogue Score (VAS). Patients were nursed I.C.U. propped up in beds receiving 5 L of humidified Oz. Study period extended over 48 hours. Results: Mean Morphine consumption in group "A" was 36 mg (range 35-37 mg) while in group "B" it was 23 mg (range 20-25 mg). Conclusion: In conclusion patients of Bupivacaine group consumed less Morphine (36.1%) preserving good oxygenation, and pulmonary functions.

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