Effect of intercostals neural blockade with Marcaine (bupivacaine) on postoperative pain after laparoscopic cholecystectomy

Abstract

Intercostals neural blockade may safely be used to reduce the postoperative pain after laparoscopic cholecystectomy.

Peripheral regional anaesthesia and outcome: lessons learned from the last 10 years

“…It has been shown that continuous intercostal nerve blocks lead to better pain control in these patients. 158 For patients undergoing laparoscopic cholecystectomy, pain severity 159 and postoperative morphine consumption 160 were significantly reduced by intercostal nerve blockade. In addition, the duration of the need for patient-controlled analgesia was significantly decreased.…”

A systematic review of interventions to facilitate ambulatory laparoscopic cholecystectomy

“…Other anaesthetic techniques trialled have included epidural 77 and regional 78 anaesthesia. Only intercostal nerve blocks have been shown to reduce postoperative pain scores, although their clinical significance was debatable 78 (Level IB).…”

Prospective randomized controlled trial comparing standard analgesia with combined intra-operative cystic plate and port-site local anesthesia for post-operative pain management in elective laparoscopic cholecystectomy

“…The methods most commonly used to reliably assess pain after LC are the 11-point Visual Analog Scale [17,18,27,38,[45][46][47][48][49][50][51][52], post-operative analgesic consumption [17,48,[53][54][55], or need for rescue analgesia [41,46,48,[56][57][58][59][60]. Post-operative pain is a highly individualized, subjective patient-reported appraisal; hence, patient-reported pain was selected as the means by which to record the primary study endpoint.…”