Online ISSN: 2515-8260

Keywords : Pain Assessment

Assessment of Post-Operative Pain after Spinal Anaesthesia with 0.5% Bupivacaine Combined with Neostigmine and 0.5% Bupivacaine alone in Infra Umbilical Surgeries

Vineet Mishra, Akhilesh Mishra, Abha Singh, Vrushali Moharil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 5812-5817

Introduction: Stress factors in the operation room and block level mismatch with
surgical area may contribute to discomfort, anxiety and restlessness in patients under
spinal anaesthesia. Sedation is a valuable tool to provide general comfort for the patient.
It usually provides freedom from specific discomfort and can impose some amount of
amnesia for the block procedure and surgical procedure. Thus, legal use of sedation can
make these surgeries under spinal anaesthesia more comfortable for the patient, the
surgeon and the anaesthetist. Therefore, it can enhance the patient's acceptance of
regional anaesthetic technique. Spinal anaesthesia itself can impart some sedative
effects.Spinal subarachnoid block is one of the most versatile regional anaesthetic
techniques available these days. Regional anaesthesia usually offers several advantages
over general anaesthesia—blunts stress response to surgery, decreases intraoperative
blood loss, lowers the incidence of postoperative thromboembolic events and provides
analgesia in early postoperative period. Subarachnoid block provides profound
anaesthesia for patients undergoing infraumbilical surgery.

Post Operative Outcomes In Relation To Illiac Graft Donor Site With Drain And Without Drain: A Comparitive Study

Dr. Sri Sujan Suryadevara; Dr. Eklavya Sharma; Dr. Mohammed Ibrahim; Dr. Rahul VC Tiwari; Dr. Sriram Choudary Nuthalapati; Dr. Md. Jawed Iqbal; Dr. Heena Tiwari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 6514-6520

Aim: To evaluate post-operative outcomes of anterior iliac bone graft after alveolar bone grafting in cleft patients with and without surgical drain.
Methodology: Forty patients with cleft alveolus were randomly selected and divided into two groups. Group 1 consisted of 20 patients (assessment finished drain attached to iliac graft) and Group 2 consisted of 20 patients (assessment steer clear off drain in respect to iliac graft). Evaluation was finished the assistance of questionnaire in terms of pain (with the assistance of visual analogue scale starting from 1 10), gait (through observation), infection and wound healing (through clinical examination) in both the groups. Chi square test was employed to gauge the comparison between various variables.
Results: In our study we observed that post operatively on day 1, patients in both group I and II, mostly were tormented by unbearable pain which was however controlled with high dose IV analgesics. By day 3, pain intensity dropped in patients without drain which was statistically significant (p=0.032). In Group I patients, around 54 available around 20 29 ml of fluid collection through the drain on day 1, which led to extreme discomfort for the patients and was statistically significant further (p=0.032).Conclusion: Closed suction drainage has no effect on wound healing following the removal of bone from the iliac crest to be used as a graft.