International Journal of Contemporary Medicine
  • Year: 2018
  • Volume: 6
  • Issue: 2

Randomised controlled study on effect of intercostal nerve block on pain in patients undergoing closed mitral valvotomy

  • Author:
  • Rati Prabha1, Madhuri Priyadarshi2, Nitesh Sinha2,, Rajesh Raman3, Yamini Gautam4, Rakesh Kumar Verma5
  • Total Page Count: 5
  • Page Number: 19 to 23

1Senior Resident, Department of Cardiac Anaesthesia, LPS Institute of Cardiology, Kanpur

2Assistant Professor, Department of Cardiac Anaesthesia, LPS Institute of Cardiology, Kanpur

3Assistant Professor, Department of Anaesthesiology, King Georg's Medical University, Lucknow

4Lecturer, Department of Cardiothoracic & Vascular Surgery, LPS Institute of Cardiology, Kanpur

5Professor & Head, Department of Cardiothoracic & Vascular Surgery, LPS Institute of Cardiology, Kanpur

*Corrosponding author: Dr Nitesh Sinha, Assistant Professor, Department of Cardiac Anaesthesia, LPS Institute of Cardiology, Kanpur Email: ratiprabha83@gmail.comcan

Online published on 16 August, 2018.

Abstract

Postoperative pain control in patients undergoing closed mitral valvotomy (CMV) is very important. Intercostal nerve block (INB) is simple and effective pain control technique. We devised this trial to study the analgesic efficacy of INB on patients undergoing CMV.

We recruited 20 patients in each group. Group B was given INB with 0.5% bupivacaine while Group C was given INB with saline.

Pain scores were lower till 16 hours, duration of analgesia was longer, postoperative rescue analgesics and intraoperative fentanyl consumption was lower in Group B. Side effects were also lower in Group B.

We concluded that INB provides better perioperative analgesia than systemic analgesics alone in patients undergoing CMV.

Keywords

Intercostal nerve block, Closed mitral valvotomy, Thoracotomy