Assessment of the post-surgical analgesic effect of local anesthetic drugs bupivacaine and lidocaine in patients of cholecystectomy

Abstract

Background: Removal of the gall bladder is one of the most common surgeries and is associated with many side effects. After the surgery, management of pain is the most important Objectives: The present study was undertaken to assess and compare the post-surgical analgesic effect of local anesthetic drugs for patients of cholecystectomy. Methods: The present study involved 30 patients who had undergone surgical removal of gall bladder and within the age group of 30 to 50 years of age. A visual analog scale was used to assess the pain levels in the patients. This is a standard scale to assess pain. Occurrence of adverse events like somnolence, nausea, and vomiting, and dizziness were observed among the two groups. Systolic and diastolic blood pressure and pulse rate were assessed using an automated blood pressure instrument manufactured by Omron. Results:The study results suggest that both drugs are effective in the management of post-surgical pain. However, when compared, group 2 who received lidocaine showed better improvement as pain scores were significantly lower when compared with group 1. There is no significant difference in the systolic and diastolic blood pressures. But there is a significant difference in pulse rate. This correlated with the pain scores in the group 2 population. Conclusion:The study results support the views of earlier studies to use the local anesthetic drugs for the management of pain after the surgery. The study recommends further studies in detail with more sample size and multiple centers to recommend this concept for the benefit of the general population.